Gastrostomy Latest Topics

During PEG tube insertion

Sat, 26 Jul 2025 19:26:57 +0000

Gastrostomy internal and external sites tips

Thu, 24 Jul 2025 06:34:15 +0000

“Placement of the Stoma Site. The stoma site on the abdominal wall should be placed away from the rib cage because, with the child’s growth, the distance between the two tends to become shorter. A gastric access device that is too close to the ribs will cause discomfort and interfere with care. Additionally, pivoting motion resulting from breathing and moving can lead to stoma enlargement and leakage. In small children, the linea alba tends to be broad and very thin and also should be avoided as an exit site. The stoma site on the stomach should be in the mid-body—away from the greater curvature, because the proximity to the transverse colon can lead to a gastrocolic fistula; away from the fundus, to allow for a possible future fundoplication; and away from the presumed site of the gastric pacemaker, near the splenic hilum. It is critical to avoid the antrum to prevent pyloric obstruction by the catheter tip and interference with gastric emptying. A stoma in this position is also more likely to leak. Placements that exert downward traction on the stomach, particularly along the greater curvature, can interfere with the angle of His at the esophagogastric junction and therefore should be avoided.”

— Pediatric Surgery (Springer Surgery Atlas) by Prem Puri, Michael E. Höllwarth

Preoperative decision making in Gastrostomy

Fri, 18 Jul 2025 17:59:01 +0000

Laparoscopic gastrostomy

Tue, 02 Feb 2021 15:42:34 +0000

Video Link in second post

Percutaneous endoscopic gastrostomy

Thu, 15 Aug 2024 18:46:28 +0000

Lap assisted gastrostomy tube insertion

Tue, 19 Dec 2023 19:52:05 +0000

see video link in second post

3/12/2023

Sun, 03 Dec 2023 13:16:45 +0000

[size=20px]A three-year old boy had a laparoscopic fundoplication and gastrostomy at 20 months of age. The gastrostomy has not been used for the past three months and he has had adequate weight gain and growth. The family would like it removed. The factor most associated with persistent gastrocutaneous fistula after removal of the button is

A size of the gastrostomy button.

B interval since initial placement.

C age of the patient.

D history of fundoplication.

E presence of a neurodevelopmental deficit.[/size]

Gastrostomy tube troubleshooting

Sun, 02 Apr 2023 14:47:53 +0000

Gastrostomy tube troubleshooting

Sun, 19 Sep 2021 13:10:43 +0000

Laparoscopic-assisted gastrostomy with upper endoscopy

Wed, 19 May 2021 07:05:08 +0000

see video link in second post