RT Book, Section
A1 Acker, Shannon
A1 Partrick, David A.
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100434275
T1 Gastrointestinal Tract Feeding Access
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesssurgery.mhmedical.com/content.aspx?aid=1100434275
RD 2024/04/19
AB Multiple  techniques  are  in  the  surgeon's  armamentarium  for  feeding  access  techniques  in  children.Gastrostomy  access  can  be  achieved  by  a  variety  of  technical  approaches:  Stamm  or  open  gastrostomy,  percutaneous  endoscopic  gastrostomy  (PEG),  laparoscopic-assisted  gastrostomy,  and  radiologically  assisted  gastrostomy.  The  authors'  preference  is  achieved  by  the  visualization  and  inherent  safety  of  the  laparoscopic-assisted  technique.Gastrostomy  morbidity  can  also  be  a  significant  feature  of  tube  change.The  major  morbidity  of  feeding  enteral  access  tube  placement  relates  to  the  need  to  exclude  gastroesophageal  reflux  as  a  major  clinical  association.  If  present,  feeding  access  may  require  a  specific  adjustment:  gastrostomy  with  concomitant  antireflux  procedure,  feeding  jejunostomy  being  the  most  common  alternatives  available.Gastrostomy  remains  one  of  the  most  common  procedures  done  by  pediatric  surgeons.