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

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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Gonzalez-Hernandez, J., Daoud, Y., Fischer, A. C., Barth, B., & Piper, H. G. (Accepted/In press). Endoscopic button gastrostomy: Comparing a sutured endoscopic approach to the current techniques. Journal of Pediatric Surgery. https://doi.org/10.1016/j.jpedsurg.2015.10.014

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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 ",

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