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Primary Placement of a Low-Profile Gastrostomy Button Is Safe and Associated With Improved Outcomes in Children

Alexander R Cortez1, Paul W Warren2, Gillian R Goddard3

  • 1Department of Surgery, University of Cincinnati, Cincinnati, Ohio; Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

The Journal of Surgical Research
|January 21, 2020
PubMed

Insights

Primary placement of low-profile gastrostomy buttons (LPBs) is safe and shows better outcomes than long gastrostomy tubes (LGTs). LPBs reduce dislodgement and leakage, leading to fewer emergency room visits for tube-related issues.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Devices

Background:

  • Gastrostomy tubes are essential for enteral feeding in various patient populations.
  • Low-profile gastrostomy buttons (LPBs) and long gastrostomy tubes (LGTs) are common options for primary placement.
  • Evaluating tube-specific outcomes is crucial for optimizing patient care and resource utilization.

Purpose of the Study:

  • To compare tube-specific outcomes between primary placement of LPBs and LGTs.
  • To assess rates of tube dislodgement, readmissions, and complications within defined timeframes.
  • To analyze resource utilization and minor complications associated with each tube type.

Main Methods:

  • Retrospective review of surgically placed gastrostomy tubes (2015-2017) at a single institution.
  • Primary outcomes: tube dislodgement and 30-day tube-related readmissions.
  • Secondary outcomes: 6-month resource utilization and minor complications.

Main Results:

  • LGTs had higher rates of tube dislodgement (9% vs. 3%) and leakage (27.7% vs. 17.5%) compared to LPBs.
  • LGT patients were more likely to visit the ER for tube-related concerns (43.9% vs. 31.6%).
  • No significant differences were observed in tube-related readmissions or peristomal granulation tissue between the groups.

Conclusions:

  • Primary placement of LPBs is a safe and effective alternative to LGTs.
  • LPBs demonstrate superior tube-related outcomes, including reduced dislodgement and leakage.
  • The findings support the use of LPBs for improved patient management and reduced healthcare resource utilization.
Abstract

Keywords:
Enteral feedingGastrostomy buttonGastrostomy tubeLow-profile buttonOutcomesPediatrics

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