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Safety of the One Step Percutaneous Endoscopic Gastrostomy (Push-PEG) Button in Pediatric Patients

Julian Brinkmann1, Luise Fahle, Ilse Broekaert

  • 1From the Department of Pediatrics, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

Journal of Pediatric Gastroenterology and Nutrition
|August 23, 2023
PubMed

Insights

The One Step ("Push-PEG") technique for percutaneous endoscopic gastrostomy (PEG) in pediatric patients is as safe as the traditional pull technique. Parental satisfaction and patient growth showed no significant differences between the two PEG methods.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Procedures
  • Medical Device Technology

Background:

  • Percutaneous endoscopic gastrostomy (PEG) systems are crucial for enteral feeding in pediatric patients.
  • The "Push-PEG" technique offers direct introduction of a PEG-Button, potentially simplifying the procedure.

Purpose of the Study:

  • To evaluate the safety and efficacy of the Push-PEG technique compared to the traditional pull PEG method.
  • To assess parental satisfaction with the Push-PEG technique in pediatric patients.

Main Methods:

  • A retrospective, single-center study comparing pediatric patients who underwent Push-PEG versus pull PEG placement.
  • Data included complication rates (minor and major), patient growth, and parental contentment via a Likert-scaled questionnaire.

Main Results:

  • Eighty-three pediatric patients were analyzed; complication rates were similar between Push-PEG (32.7%) and pull PEG (38.7%), with a trend towards fewer major complications in the Push-PEG group (4.1% vs 8.8%).
  • Parental satisfaction and patient growth outcomes did not significantly differ between the two techniques.
  • The Push-PEG technique demonstrated safety comparable to the pull technique, even in infants over 2.8 months and 4kg.

Conclusions:

  • The Push-PEG technique is a safe alternative to the traditional pull PEG method for pediatric enteral feeding.
  • Fewer follow-up interventions may favor Push-PEG as a primary method in select pediatric cases.
  • Both techniques yield comparable parental satisfaction and patient growth outcomes.
Abstract

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