Percutaneous Endoscopic Gastrostomy with T-Fasteners versus “Pull Technique”: Analysis of Complications
Topic overview
This retrospective study compares complication rates between traditional pull-technique gastrostomy (P-PEG) and T-fastener gastrostomy (T-PEG) in 146 pediatric patients over nearly 4 years of follow-up. While overall complication rates were similar between techniques, T-PEG offered the advantage of button replacement without sedation, potentially reducing procedural burden in long-term enteral access management.
Key takeaways
- T-fastener PEG allows primary balloon gastrostomy insertion, eliminating need for sedation at 6-month replacement (2.6% vs 97% sedation rate).
- Overall complication rates were comparable between T-PEG and pull-technique PEG (21.0% vs 24.2%, p>0.05) in pediatric patients.
- T-fastener technique uses three percutaneous anchors to secure stomach wall before balloon gastrostomy placement.
- Mean follow-up of 3.9 years showed both techniques are safe alternatives for pediatric gastrostomy placement.
- Pull-technique PEG requires routine sedation for button replacement at 6 months; T-fastener technique does not.
Keywords
Hashtags
Full article text
Full article text not available for this entry
How to cite: GlobalCastMD. Percutaneous Endoscopic Gastrostomy with T-Fasteners versus “Pull Technique”: Analysis of Complications. GlobalCastMD Medical Library. 2024-06-25. https://dev.library.globalcastmd.com/article/8772?via_space=staycurrentmd
Comments