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Pediatric Surgery International

Erschienen in:

26.09.2022 | Original Article

Percutaneous endoscopic gastrostomy tube placement via the introducer technique is safe and effective in children when compared to the laparoscopic technique

verfasst von: Kyle J. Glithero, Matthew T. Hey, Juan L. Calisto, Fuad Alkhoury, Leopoldo Malvezzi, Cathy A. Burnweit

Erschienen in: Pediatric Surgery International | Ausgabe 12/2022

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Abstract

Purpose

We compare our experience of percutaneous endoscopic gastrostomy, introducer technique (PEG) and laparoscopic technique (LapGT) at a tertiary care pediatric hospital.

Methods

Isolated PEGs and LapGTs placements were reviewed at our institution from August 2016 through January 2018. Demographics, procedure time, operative charges, and 30-day complications were reviewed. Means of quantitative values were compared using the student’s t test. Categorical values were compared using the X² test.

Results

Ninety-three isolated gastrostomy tubes were placed in children aged 2 weeks to 19 years. There were 56 PEGs (60%) and 37 LapGTs (40%), based on surgeon preference. There was no significant difference in demographics between the two groups. Mean operative time for PEG was 59% shorter (14 vs. 33 min, p < 0.001). Operating room charges averaged $4500 less in the PEG group ($11,400 vs. $15,900, p < 0.001). Neither group had complications that required a return to the operating room within 30 days postoperatively. There was no difference in the rate of fundoplication after gastrostomy tube placement. In two cases PEGs were converted to LapGTs after safety criteria for PEG were not met.

Conclusion

The PEG introducer technique, when used with clearly defined safety criteria, decreased operative time and cost without compromising safety.

Level of evidence

III.

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Titel: Percutaneous endoscopic gastrostomy tube placement via the introducer technique is safe and effective in children when compared to the laparoscopic technique
verfasst von: Kyle J. Glithero
Matthew T. Hey
Juan L. Calisto
Fuad Alkhoury
Leopoldo Malvezzi
Cathy A. Burnweit
Publikationsdatum: 26.09.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 12/2022
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-022-05247-3

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Percutaneous endoscopic gastrostomy tube placement via the introducer technique is safe and effective in children when compared to the laparoscopic technique