Endoscopic button gastrostomy: Comparing a sutured endoscopic approach to the current techniques

Jessica Gonzalez-Hernandez; Yahya Daoud; Anne C. Fischer; Bradley Barth; Hannah G. Piper

doi:10.1016/j.jpedsurg.2015.10.014

Endoscopic button gastrostomy: Comparing a sutured endoscopic approach to the current techniques

Jessica Gonzalez-Hernandez, Yahya Daoud, Anne C. Fischer, Bradley Barth, Hannah G. Piper

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: Button gastrostomy is the preferred feeding device in children and can be placed open or laparoscopically (LBG). Alternatively, a percutaneous endoscopic gastrostomy (PEG) can be placed initially and exchanged for a button. Endoscopic-assisted button gastrostomy (EBG) combines both techniques, using only one incision and suturing the stomach to the abdominal wall. The long-term outcomes and potential costs for EBG were compared to other techniques. Methods: Children undergoing EBG, LBG, and PEG (2010-2013) were compared. Patient demographics, procedure duration/complications, and clinic and emergency room (ER) visits for an eight-week follow-up period were compared. Results: Patient demographics were similar (32 patients/group). Mean procedure time (min) for EBG was 38. ±. 9, compared to 58. ±. 20 for LBG and 31. ±. 10 for PEG (p

Original language	English (US)
Journal	Journal of Pediatric Surgery
DOIs	https://doi.org/10.1016/j.jpedsurg.2015.10.014
State	Accepted/In press - Sep 25 2015

Keywords

Button gastrostomy
Laparoscopic gastrostomy
Percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health

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10.1016/j.jpedsurg.2015.10.014

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title = "Endoscopic button gastrostomy: Comparing a sutured endoscopic approach to the current techniques",

abstract = "Purpose: Button gastrostomy is the preferred feeding device in children and can be placed open or laparoscopically (LBG). Alternatively, a percutaneous endoscopic gastrostomy (PEG) can be placed initially and exchanged for a button. Endoscopic-assisted button gastrostomy (EBG) combines both techniques, using only one incision and suturing the stomach to the abdominal wall. The long-term outcomes and potential costs for EBG were compared to other techniques. Methods: Children undergoing EBG, LBG, and PEG (2010-2013) were compared. Patient demographics, procedure duration/complications, and clinic and emergency room (ER) visits for an eight-week follow-up period were compared. Results: Patient demographics were similar (32 patients/group). Mean procedure time (min) for EBG was 38. ±. 9, compared to 58. ±. 20 for LBG and 31. ±. 10 for PEG (p ",

keywords = "Button gastrostomy, Laparoscopic gastrostomy, Percutaneous endoscopic gastrostomy",

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year = "2015",

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doi = "10.1016/j.jpedsurg.2015.10.014",

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AU - Gonzalez-Hernandez, Jessica

AU - Daoud, Yahya

AU - Fischer, Anne C.

AU - Barth, Bradley

AU - Piper, Hannah G.

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Y1 - 2015/9/25

N2 - Purpose: Button gastrostomy is the preferred feeding device in children and can be placed open or laparoscopically (LBG). Alternatively, a percutaneous endoscopic gastrostomy (PEG) can be placed initially and exchanged for a button. Endoscopic-assisted button gastrostomy (EBG) combines both techniques, using only one incision and suturing the stomach to the abdominal wall. The long-term outcomes and potential costs for EBG were compared to other techniques. Methods: Children undergoing EBG, LBG, and PEG (2010-2013) were compared. Patient demographics, procedure duration/complications, and clinic and emergency room (ER) visits for an eight-week follow-up period were compared. Results: Patient demographics were similar (32 patients/group). Mean procedure time (min) for EBG was 38. ±. 9, compared to 58. ±. 20 for LBG and 31. ±. 10 for PEG (p

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