Abstract
Results Out of 34 patients who underwent gastrostomy tube insertion, 30 patients had their long tube replaced by a button gastrostomy. Majority were males (N = 18, 60%). Prolonged nasogastric tube feeding was the main indication of referral (N = 17, 56%) followed by feed intolerance (N = 6, 17%) and gastroesophageal reflux disease (N = 5, 16%). The main underlying diseases at referral were neurological impairment (N = 19, 63%) and metabolic disorders (N = 4, 13%). There was no significant difference between patients with neurological disorders and other diseases in terms of gender, nationality, or age. Laparotomy with gastrostomy is the main approach used (N = 18, 60%). No reported complications of button tubes in 50% of the patients (N = 15). Conclusions Prolonged nasogastric tube feeding is the main indication of referral for gastrostomy tube insertion. Neurological disorders are the main diagnosis for the cases operated upon. Laparotomy with gastrostomy is the procedure of choice at our center. Majority of patients had no reported complications of button tube replacement. These children are likely to benefit from the button tube with fewer complications.
Highlights
In children who are not able to be nourished by mouth, other routes must be sought
Gastrostomy tube insertion is one of the most common procedures performed in the pediatric age group as a radical choice to overcome feeding difficulty, according to the European Society for Clinical Nutrition and Metabolism
The patients were divided into two groups based on the indications for the procedure
Summary
In children who are not able to be nourished by mouth, other routes must be sought. If this is a short temporary condition, nasogastric tube routes are feasible, but long-term use increases the risk of complications [1].A gastrostomy is a surgical opening through the abdomen into the stomach where a feeding device is inserted. Gastrostomy tube insertion is one of the most common procedures performed in the pediatric age group as a radical choice to overcome feeding difficulty, according to the European Society for Clinical Nutrition and Metabolism. Gastrostomy tube should be inserted for all patients who face feeding difficulty for more than 2-3 weeks [2, 3]. Gastrostomy tube insertion is one of the most common procedures performed as a radical choice to overcome feeding difficulty in children. Prolonged nasogastric tube feeding is the main indication of referral for gastrostomy tube insertion. Majority of patients had no reported complications of button tube replacement. These children are likely to benefit from the button tube with fewer complications
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