Balloon gastrostomy buttons in pediatric patients: evaluation with respect to size, lifetime in patients, and parent acceptance.

BACKGROUND AND OBJECTIVE

To evaluate the experience with "balloon" gastrostomy buttons in pediatric patients. Distributions of the shaft lengths and the longevity of the balloon tubes were examined. Parents' and caregivers' opinion about this type of tube were analysed.

METHODS AND PATIENTS

Retrospective chart review (n=38) and short questionnaire (n=21) during regular follow up visits.

RESULTS

The mean longevity of balloon buttons was 193 days. 90.7% shaft lengths were from 1.5 to 2.3 cm. 100% of caregivers evaluated handling of the button tube as equal or better (81%) than a conventional PEG tube. "Overall" satisfaction was equal in 5% and better in 85% of cases.

CONCLUSION

Button tubes have to be replaced about 2 times a year. In pediatrics typical shaft lengths are between 1.5 and 2.3 cm. A majority of care giving persons prefers the button tube in comparison with PEG-tubes. Thus, button tubes should be recommended for long-term enteral nutrition in order to improve the patients' quality of life.