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Percutaneous endoscopic gastrostomy with T-bar fixation in children
W C Boswell1, C R Boyd, S A Lord
1Department of Surgical Education, Memorial Medical Center, Savannah, Georgia 31403-2084, USA.
Surgical Laparoscopy & Endoscopy
|August 1, 1996
Summary
The "push" technique for pediatric percutaneous endoscopic gastrostomy (PEG) with T-bar fixation is safe and effective. This method offers a viable alternative for gastrostomy tube placement in children.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure for pediatric enteral feeding.
- The Ponsky
- pull
- technique has been the standard for PEG placement in children since 1979.
Purpose of the Study:
- To evaluate the safety and efficacy of the
- push
- technique for PEG with T-bar fixation in pediatric patients.
Main Methods:
- Retrospective review of PEGs performed in pediatric patients (≤17 years) over 31 months.
- Exclusion of patients with prior abdominal surgery.
- Detailed evaluation of age, indications, procedure time, and complications.
Main Results:
- Fifteen pediatric patients (mean age, 9 years) underwent the procedure.
- Indications included need for long-term enteral alimentation, progressive neurologic dysfunction, and failure to thrive.
- No significant major postoperative complications were observed.
Conclusions:
- The
- push
- technique with T-bar fixation is a safe and effective method for pediatric gastrostomy.
- This technique provides a valuable alternative for gastrostomy tube placement in children.