TY - CHAP M1 - Book, Section TI - Gastrointestinal Tract Feeding Access A1 - Acker, Shannon A1 - Partrick, David A. A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1100434275 ER -