Combined laparoscopic-fluoroscopic technique for primary gastrojejunostomy button tube placement

Melanie B. LaPlant, Mariya E. Skube, Daniel A Saltzman, Robert D Acton, Bradley J Segura, Donavon J Hess

Research output: Contribution to journalArticle

Abstract

Background: Gastrojejunostomy (GJ) tubes are frequently used to provide pediatric enteral nutritional support for pediatric patients. Various placement methods have been described, each with attendant advantages and disadvantages. Description of the operative technique: We present a technique for primary laparoscopic/fluoroscopic GJ button tube placement designed to avoid delay in placement of the jejunal limb, and difficulties associated with endoscopic-assisted and primary fluoroscopic placement. Results: There were 52 gastrojejunostomy button tubes placed via this technique in patients ranging from 3.8 to 90.3 kg in weight. Three postoperative complications were identified; one bowel perforation on postoperative day two, and two tube dislodgements within 30 days. Conclusion: The described technique was uniformly effective and was associated with a low complication rate (5.8%).

Original languageEnglish (US)
Pages (from-to)862-865
Number of pages4
JournalJournal of Pediatric Surgery
Volume54
Issue number4
DOIs
StatePublished - Apr 1 2019

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Gastric Bypass
Pediatrics
Nutritional Support
Small Intestine
Extremities
Weights and Measures

Keywords

  • Enteral access
  • Fluoroscopy
  • Gastric feeding intolerance
  • Gastrojejunostomy tube
  • Laparoscopy
  • Pediatrics

PubMed: MeSH publication types

  • Journal Article
  • Technical Report

Cite this

Combined laparoscopic-fluoroscopic technique for primary gastrojejunostomy button tube placement. / LaPlant, Melanie B.; Skube, Mariya E.; Saltzman, Daniel A; Acton, Robert D; Segura, Bradley J; Hess, Donavon J.

In: Journal of Pediatric Surgery, Vol. 54, No. 4, 01.04.2019, p. 862-865.

Research output: Contribution to journalArticle

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AU - Skube, Mariya E.

AU - Saltzman, Daniel A

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AU - Segura, Bradley J

AU - Hess, Donavon J

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