Originally Posted by Earth Momma
g-tube over ng tube any day BUT mic key button is the BEST of all
good luck Momma
no dude, the AMT mini-one button is WAY better than the mic-key IMO. But I prefer any kind of long tube instead of a button if you're using it a majority of the day. The extensions are annoying to deal with if the kid is just going to be hooked up all the time. We've had Mic-key long tubes, mic-key buttons, mic-key GJ long and button, depezzer tube, foley, bard straight tube, AMT mini-one, and a chait button (appendicostomy).
-The mic-key button annoyed the heck out of me and broke all the time.
-The mic-key long tube was very nice (but again, if we weren't using his tube all the time it probably would have been annoying because of the length) and since it doesn't have the same things the button does, mainly the anti reflux valve, it doesn't break nearly as often.
-The AMT mini one is much less bulky than the mic-key button and has held up much much better. I think we've had the same AMT button for 5 months now and it shows no signs of wear or anything. The AMT extensions are a much higher quality too and don't kink as much.
-The depezzer tube is annoying, doesn't have a cap, and is prone to cracking after a few weeks.
-The bard straight tube does not have any kind of anchor (this is what we use for L's J tube) so it has to be taped in. It's kind of annoying to have to always do tape changes, but it's much better than the risks of the roux-en-y surgery (you can use a balloon or non balloon button after that one). The only real weakness we've found is where the port head connects to the tubing, if the tube gets pulled and/or twisted often it begins to leak. It's the easiest tube to change because it doesn't have any kind of ridge like a tube with a balloon, so it slides right in easily.
-The foley's are okay but they also have to be taped in. They do have a balloon to hold them in place to a degree, but have to be taped. They just don't seem to be designed for long term use and we have had issues with balloons popping rather quickly. I think they lasted about 1 month max.
-The chait is fine, very low profile. It doesn't have a balloon, instead it has a coil inside that holds it in place. It's made specifically for the colon, so I don't know that it could be used anywhere else. The cap is very tight so it can be hard to open and close (not to mention that poo is often squirting out at you when you're trying to shut it, so that could contribute to that issue, lol!).
-The mic-key GJ long tube drives me batty. We went through about 1 a month because they would crack where the port head met the tubing. Kimberly Clark said that it wasn't their tube that was an issue but it was from high gastric pressure. In retrospect, this may be possible (at first I thought they were full of crap) because his stoma was not in the correct place and so the G portion was actually in the duodenum. I don't know if that could have caused the cracking or not, but it was a very frustrating problem since it has to be placed in interventional radiology.
-Mic-key GJ button I hated. I think ours most often lasted about 2 weeks. They tended to spin and displace the J portion of the tube. He also had issues with his stoma because of the bulk of the button (since it has 3 ports it's really big). He would blow a lot of bile and junk out around the stem of the button and it just ate his stoma up.
So there's my very long winded summary on all the different tubes we've tried (we did trial an experimental tube too, the ELF but I don't remember much about it so I left it out). I'm very pleased with the AMT mini-one and the bard straight tube is fine and gets the job done and is easy to replace. I don't think we'll ever change brands of buttons and I think this is the only button style g-tube I'll use. If we had to switch back to mic-key for any reason, I'd go with the long tube.