StayCurrentMD · Which G-tube method has fewer leaks?
Video·Published Oct 2019Older

Which G-tube method has fewer leaks?

hosted by Dr. Todd Ponsky & Dr. Em Gootee
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What the experts said4 expert statements · 5 host summaries
With the Seldinger technique, gastric cutaneous stitches are in place for four or five days.
ClinicalTodd Ponsky
Gastric cutaneous stitches used in the Seldinger technique can turn the wound red and sometimes get infected.
ClinicalTodd Ponsky
The Seldinger technique can have complications with the needle and wire going through the stomach.
ClinicalTodd Ponsky
The article is not definitive enough to say that one G-tube technique should be done over the other.
OpinionTodd Ponsky
The article is from Charlotte Kubasnowski and Air Lipsgar and colleagues at Cohen Children's Medical Center looking at techniques for laparoscopic G-tube placement.
Host summaryEm Gootee summarizing a resource · not cited in answers
At Cohen Children's Medical Center, two surgeons used the Seldinger technique and five used the modified open technique for laparoscopic G-tube placement.
Host summaryEm Gootee summarizing a resource · not cited in answers
The study found more leaking in patients who had G-tubes placed using the modified open technique.
Host summaryEm Gootee summarizing a resource · not cited in answers
The study found an odds ratio of 5.6 in favor of leak after the modified open technique.
Host summaryEm Gootee summarizing a resource · not cited in answers
The study authors recommend making the incision in the stomach and abdominal wall as small as possible when using the modified open technique to avoid leak complications.
Host summaryEm Gootee summarizing a resource · not cited in answers