Related Experiment Video

Updated: Jun 17, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Traction removal of percutaneous endoscopic gastrostomy devices in children

Ramesh Srinivasan1, Tracey Irvine, A M Dalzell

  • 1Department of Pediatric Gastroenterology, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, L12 2AP, UK. ramsriniv@doctors.org.uk

Digestive Diseases and Sciences
|December 25, 2009
PubMed

Insights

Traction removal of percutaneous endoscopic gastrostomy (PEG) devices in children is a safe and cost-effective alternative to endoscopic removal. This method avoids the need for endoscope disinfection and disposable equipment, saving approximately £90 per procedure.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Procedures
  • Medical Device Management

Background:

  • Limited published data exists on non-endoscopic removal of percutaneous endoscopic gastrostomy (PEG) devices in pediatric patients.
  • Percutaneous endoscopic gastrostomy (PEG) tubes are common in pediatric care for nutritional support.

Purpose of the Study:

  • To prospectively evaluate the safety and efficacy of traction removal for percutaneous endoscopic gastrostomy (PEG) devices in children.
  • To describe the outcomes and complications associated with traction removal of PEG devices at a single pediatric center.

Main Methods:

  • Prospective data collection over a 5-year period (2002-2006) from endoscopy records and hospital information systems.
  • Analysis of 220 percutaneous endoscopic gastrostomy (PEG) removals, with a focus on 166 cases performed via traction.
  • Corflo 12-Fr percutaneous endoscopic gastrostomy (PEG) tubes with collapsible retention domes were utilized for traction removal under general anesthesia.

Main Results:

  • Traction removal was performed in 166 out of 220 (75%) percutaneous endoscopic gastrostomy (PEG) device removals.
  • Complications were infrequent, including internal retention dome separation (2 cases) and one instance each of enterocutaneous fistula and suspected device misplacement requiring laparoscopy.
  • Traction removal of percutaneous endoscopic gastrostomy (PEG) devices resulted in cost savings of approximately £90 per procedure by avoiding endoscope disinfection and disposable use.

Conclusions:

  • Traction removal of percutaneous endoscopic gastrostomy (PEG) tubes in children is a generally safe procedure with no associated mortality.
  • The technique is cost-saving, offering a financially advantageous alternative to endoscopic removal.
  • Traction removal represents a viable and efficient method for managing percutaneous endoscopic gastrostomy (PEG) devices in the pediatric population.
Abstract

Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...