LA GASTROSTOMIE D’ALIMENTATION PAR LA SONDE A BALLONNET AU CHU SYLVANUS OLYMPIO DE LOME

Abstract: gastrostomy is a device that allows direct access to the stomach. The purpose is to report our experience on the use of the surgical feeding gastrostomy balloon tube. Patients and method: a case series involving 22 patients who underwent a feeding gastrotomy over a period of 7 years. We placed the balloon of gastrostomy tube. The surgical procedure was described. We took into account epidemiological data, indications and therapeutic follow-up. Results: the average age was 59 years (range 2 to 79 years) with a sex ratio of 2.14. The general condition was impaired in 14 patients. Laboratory tests showed electrolyte disturbances in 12 cases, which were corrected. The main indications were esophageal cancer (15 cases), followed by caustic esophageal strictures (3 cases). Postoperative outcomes were uncomplicated in 19 cases, with 2 cases of hematoma, 1 case of seroma, 1 case of tube obstruction, and 2 cases of tube dislodgement. Hematomas and seromas were managed by removing the sutures and re-dressing the wound. Tubes were replaced. The average length of hospital stay was 2 days (ranging 1 and 8 days). Conclusion: the insertion of the gastrostomy balloon tube is a simple, easyto-perform procedure that provides better quality of life for patients with aphagia. However, it is still limited by the availability and accessibility of the equipment. Tube replacement is sometimes hindered by its cost. Keywords: Gastrostomy tube, Balloon tube, Aphagia, lomé