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Percutaneous endoscopic gastrostomy buttons in children: superior to tubes

Nathan M Novotny1, Reid C Vegeler, Francine D Breckler

  • 1Department of Surgery, Indianapolis, IN 46202, USA.

Journal of Pediatric Surgery
|June 16, 2009
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) buttons are comparable to PEG tubes, with buttons showing fewer dislodgements and enabling earlier hospital discharge for pediatric patients. This study highlights PEG buttons as a safe and effective enteral access option.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Procedures
  • Medical Device Comparison

Background:

  • Limited comparative data exists for percutaneous endoscopic gastrostomy (PEG) tubes versus PEG buttons.
  • Primary PEG buttons offer a single-step, low-profile enteral access solution with potential for reduced complications.

Purpose of the Study:

  • To compare the outcomes of percutaneous endoscopic gastrostomy (PEG) tubes and PEG buttons in pediatric patients.
  • To evaluate differences in complications, hospital stay, and device-related issues between PEG tubes and buttons.

Main Methods:

  • Retrospective review of pediatric patients undergoing PEG tube or button placement from January 2006 to August 2007.
  • Statistical analysis using chi-squared and t-tests to compare patient characteristics and outcomes.
  • Power analysis determined a required sample size of 105 patients per group.

Main Results:

  • A total of 223 children (110 PEG tubes, 113 PEG buttons) were analyzed.
  • No significant differences were observed in operative time, intraoperative complications, clogging, breakage, infections, ED visits, or readmissions.
  • PEG buttons were associated with shorter hospital stays (60% discharged after one night vs. 25% for PEG tubes; P < .001) and fewer dislodgements (4 vs. 15; P < .05).

Conclusions:

  • Percutaneous endoscopic gastrostomy (PEG) buttons demonstrate a lower rate of dislodgement compared to PEG tubes.
  • Infection rates were comparable between PEG buttons and PEG tubes.
  • Pediatric patients with PEG buttons experienced earlier hospital discharge, suggesting clinical comparability with improved safety regarding dislodgement.
Abstract

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