Gastrostomy - Mic-Key button

Submitted by Twins plus Two on Fri, 02/11/2011 - 15:34.
Name Of Test Or Operation: 
Gastrostomy - Mic-Key button
Other Names Test Or Operation Known By: 
button, GT (gastrostomy tube)
Reason The Test Or Operation Was Carried Out: 
Placement of a tube for feeds and/or medication directly into the child's stomach.
What Was Your Experience Of The Test/Operation: 
Our son was a mobile toddler when his tube was placed and we were recommended a Mic-key balloon button device. Initially a rubber malecot tube (catheter) is sutured in under anaesthetic, and to promote scarring and create a tract. After 4-6 weeks the stitches are removed and a balloon tube device inserted. The balloon is then inflated with 5mls or more of water to keep the device in place. Unlike a PEG a button device does not need to be changed or removed surgically. You change the water weekly and flush the tube daily. You change the tube every 3 months and can do this at home. The stoma hole would close within 3 hours so care is needed to ensure you always have a spare with you in case one should come out!
Next Steps: 
We used ours with feed (not dioralyte) straight off, the day after surgery.
After Care: 
As with any stoma granulation tissue can grow and build up around the tract. Silver nitrate is rarely recommended except in extreme cases. Maxitrol eye ointment is good on a 10 day course or dressing part time with lyofoam to promote healing - but airing the stoma regularly to prevent infection as Lyofoam draws moisture and the blood to the surface creating a warm, moist environment perfect for bugs!
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Submitted by Guest on Fri, 02/03/2012 - 17:24.

Did your son also have the Nissen Fundoplication or just have the G-tube placed?

 

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