Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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To Button or Not to Button? Primary Gastrostomy Tubes Offer No Significant Advantage Over Buttons

  • Osei, Hector (Department of Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital) ;
  • Munoz-Abraham, Armando Salim (Department of Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital) ;
  • Martino, Alice (Department of Surgery, Saint Louis University School of Medicine) ;
  • Chatoorgoon, Kaveer (Department of Surgery, Saint Louis University School of Medicine) ;
  • Greenspon, Jose (Department of Surgery, Saint Louis University School of Medicine) ;
  • Fitzpatrick, Colleen (Department of Surgery, Saint Louis University School of Medicine) ;
  • Villalona, Gustavo A. (Department of Surgery, Saint Louis University School of Medicine)
  • Received : 2022.01.12
  • Accepted : 2022.04.02
  • Published : 2022.05.15
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Abstract

Purpose: Outcomes between primary gastrostomy tubes and buttons (G-tube and G-button) have not been established in pediatric patients. We hypothesized that primary G-tube have decreased complications when compared to G-button. Methods: A retrospective review of surgically placed gastrostomy devices from 2010 to 2017 was performed. Data collected included demographics, outcomes and 90-day complications. We divided the patients into primary G-tube and primary G-button. Results: Of 265 patients, 142 (53.6%) were male. Median age and weight at the time of surgery were 7 months (interquartile range [IQR], 2-44 months) and 6.70 kg (IQR, 3.98-14.15 kg), respectively. Among the groups, G-tube had 80 patients (30.2%) while G-button 185 patients (69.8%). There were 153 patients with at least one overall complication within 90 days postoperative. There was no significant difference in overall complications between groups (G-tube 63.8% vs. G-button 55.7%, p=0.192). More importantly, there were no significant differences in major complications among the groups, G-tube vs. G-button (5% vs. 4%; p=0.455). Conclusion: Primary G-tube offers no significant advantage in overall, minor or major complications when compared to primary G-button.

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References

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