After Button Gastronomy

How do I care for the button site?

Daily for the first 2 weeks after surgery:

· Wash your hands.

· Dip a cotton tip applicator into water. Clean around the button, gently

loosening any crusts. Repeat as needed.

· Gently dry area.

After 2 weeks:

Wash around the button with soap and water every day while bathing your child.

Rinse the area with water and pat dry. Do not use any more hydrogen peroxide.

You may put gauze around the tube, but this is not necessary.

How do I begin?

· Wash your hands.

· Decompress as needed


Decompression is done to relieve the buildup of excess gas and liquids in the

stomach. A special tube called a decompression tube is inserted into the button

and gas/liquid flow out through the tube. (With some buttons, the decompression

can be done with the feeding tube. The nurse will tell you which kind your child


When should I decompress?

At first, it is best to use the decompression tube every 4 hours or before each

feeding. This is especially important if your child had an anti-reflux procedure. If

your child usually has gas, you should continue to decompress before feedings.

You may decompress more often if your child acts uncomfortable.

If your child does not usually have gas come out the tube you may stop

decompressing. If you are not sure what to do, your doctor or nurse will help


How do I do it?

· Wash your hands.

· Remove the cap and plunger from a 60 ml catheter tip syringe.

· Attach the syringe to the decompression tube.

· Hold the syringe upright and unclamp the tube.

· Put one end of the tube into a clean cup or bottle.


· Open the button and insert the other end of the tube into the button. Once the

excess gas/liquid escapes, (this happens quickly like a burp) remove the tube

and close the button and wash your hands.




1. Take off any caps and attach the feeding pump tubing or the syringe to the

right-angle feeding tube.

2. Pour the amount of formula prescribed into the feeding bag or syringe. Open any

clamps and let the formula run all the way through the tubing. Clamp the tube.

3. Open the button and put in the feeding tube while holding onto the button with the

other hand.

4. Run the pump or use the syringe as you were shown.

5. When the feeding is done, disconnect the syringe or pump tube from the

feeding tube.

6. Flush the tube with 10 to 20 ml of water.

7. Remove the tube and cap the button.

8. If your child is receiving continuous feedings, flush the tubing at least 2 times a


9. Rinse the attachment tubing and the syringe.

What else do I need to know?

Use a new pump bag every day.

It is normal to see some brownish (sometimes yellowish) drainage which dries on the

skin. It should not have a bad odor. You will see some redness around the button for

about 4 weeks. This will slowly go away.

The site will be tender for 1 to 3 weeks after the button is put in place.

If your child has physical therapy at home he should not do any exercises on his

stomach for 3 weeks.

Your doctors and nurses will work with you and your child to set up a feeding

schedule. This may take some time and continue after you take your child home.

You will be given information about follow up appointments before you leave the





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