• The gastrostomy balloon button must be changed if it is accidentally removed, if it is defective or broken (eg, blocked or slowly leaking by the button, balloon deflation or bursting, breakage of the anti-reflux valve) and as directed by your healthcare team.
• We suggest a procedure that you can use as a guide; discuss with your healthcare team the specific equipment used for your child.

Considerations:

• NEVER CHANGE THE BUTTON IF YOUR CHILD HAS A STOMA FOR LESS THAN 6 TO 8 WEEKS (or other duration as recommended by your healthcare team). If changing the button is necessary at this time, contact your healthcare team.
• Except in an emergency, change the button when your child’s stomach is empty (minimum 2 hours after the last feeding session or as recommended by your healthcare team).
• Always use the amount of water recommended by your healthcare team to inflate the balloon. The amount needed depends on the size and fit of the button. In some cases, it may be necessary to put more water in the balloon to prevent leakage around the stoma if the button is not tight enough. Never put more water than the maximum amount recommended by the manufacturer, as the balloon may burst.
• Assess the need to have a second person available during the procedure to keep your child in a safe position (eg, if your child is young and/or moving).
• Refer to your healthcare team to adjust the method if your child is able to do the care on his or her own.
• Ensure your child’s comfort during care by using different positioning and distraction techniques that suit your child best.
• Good hand washing is essential before and after performing this care.

• As needed or as directed by your healthcare team.