Combined laparoscopic-fluoroscopic technique for primary gastrojejunostomy button tube placement
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Read the article on jpedsurg.org ↗Article · Dec 2018 · 1 min read
In brief
In brief
This study describes a combined laparoscopic-fluoroscopic technique for primary gastrojejunostomy button tube placement in pediatric patients. In 52 cases (3.8-90.3 kg), the technique achieved uniform success with a low complication rate of 5.8%, avoiding delays and difficulties associated with traditional endoscopic or fluoroscopic-only approaches.
Written by the GCMD Library team from the article.
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%).