Peitgen K, Schlensak M, Krause U, Hellinger A, Walz M K
Abteilung für Allgemeine Chirurgie, Chirurgischen Klinik, Universität-GHS-Essen.
Zentralbl Chir. 1997;122(5):344-8.
In all variants of surgical or endoscopic gastrostomies, the abdominal wall is penetrated by a catheter. This reduces life-quality and often induces complications in gastrostomies.
In a prospective trial, an anti-refluxive replacement button was applied as a catheter-substitute in 45 patients after conventional, laparoscopic and percutaneous-endoscopic gastrostomies.
In 1 of 45 patients the button was falsely inserted, only two patients experienced minor local infections of the stoma. No further major complications were noted. The average usage-time is 6.3 +/- 4.9 [1-17] months, the rate of complications in 100 days is 0.06.
The gastrostomy replacement button is safely applicable and improves clearly the comfort of gastrostomies with a low complication rate.
