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Endoscopic gastrostomy button with double-lasso U-stitch in children
Federico G Seifarth1, Matthew L Dong2, Alfredo D Guerron2
1Department of Pediatric Surgery, Cleveland Clinic Children's Hospital, Cleveland, OH, USA.
Summary
A new endoscopic technique for primary gastrostomy button placement in pediatric patients is safe and effective. This method offers a cost-effective alternative to standard procedures, with no reported complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Endoscopic Procedures
Background:
- Gastric access is a common surgical procedure with various techniques.
- Existing methods for gastrostomy placement can be complex or costly.
Purpose of the Study:
- To describe a novel, cost-effective, safe, and easy endoscopic technique for primary gastrostomy button placement in pediatric patients.
- To evaluate the efficacy and safety of the double-transcutaneous lasso U-stitch push technique.
Main Methods:
- Retrospective review of 24 consecutive primary gastrostomy button placements.
- Inclusion of pediatric patients aged 3 weeks to 20 years.
- Procedure performed between October 2012 and October 2014 at a single center.
Main Results:
- The procedure was well-tolerated with no intraoperative complications.
- No conversions to laparoscopic or open surgery were required.
- No early tube dislodgements or postoperative complications within 4 weeks were observed.
Conclusions:
- Endoscopic primary gastrostomy button placement using the transcutaneous lasso U-stitch is a safe and effective alternative.
- This technique is fast, elegant, and cost-effective compared to standard percutaneous endoscopic gastrostomy.
- The method demonstrates a favorable safety profile in the pediatric population.
