Safety of the One-Step Percutaneous Endoscopic Gastrostomy Button in Children

Area of Science:

• Pediatric Gastroenterology
• Minimally Invasive Surgery

Background:

• Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding in children.
• Anecdotal reports exist regarding the single-stage PEG button technique.

Purpose of the Study:

• To prospectively evaluate the safety and efficacy of the single-stage PEG button technique in a pediatric population.
• To compare the single-stage PEG button technique with the traditional pull technique.

Main Methods:

• A 3-year prospective, monocentric study.
• Inclusion of 183 pediatric patients undergoing single-stage PEG button placement.
• Data collection on safety, infection rates, and anesthesia requirements.

Main Results:

• The single-stage PEG button technique demonstrated a low rate of infection.
• The procedure was found to be safe for pediatric use.
• Compared favorably to the pull technique, requiring only one general anesthesia.

Conclusions:

• The single-stage percutaneous endoscopic gastrostomy button is a safe and effective procedure for pediatric patients.
• This technique offers advantages over the pull method, including reduced anesthesia needs and favorable safety profile.