Indexed on: 08 Aug '09Published on: 08 Aug '09Published in: Zeitschrift fur Gastroenterologie
Skin-level gastrostomy devices have been established to maintain enteral nutrition in clinical practice. Unfortunately there is still a need for a second intervention to place the secondary system. The combination of a new introducer technique with endoscopic controlled gastropexy for PEG and the primary placement of a button system leads to a safe stomal fixation of the balloon device. The aim of this study was to evaluate for the first time the safety of this combined approach.Between 2000 and 2005 five patients were treated with this new technique and received a single-step button gastrostomy. All patients were followed with a standardised protocol.No major complications were seen during follow-up. The system could be removed within 6 - 18 weeks without any problems.On the basis of our first experience we conclude that by combination of the three techniques, introducer PEG with gastropexy, Seldinger wire, and balloon-type button, a single-step button gastrostomy can be safely performed.