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

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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

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
DOIs
StateAccepted/In press - Sep 25 2015

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Keywords

  • Button gastrostomy
  • Laparoscopic gastrostomy
  • Percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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