Single stage Percutaneous Rapid INsertion of a Gastrostomy button (SPRING) technique: A retrospective study in children

Darwish, Ahmed A.; Corbett, Philip; Louson, Ann; Whewell, Harriet; Griffiths, Mervyn

doi:10.1007/s42804-020-00064-8

Cited by 1 publication

(2 citation statements)

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“…Further procedures 7 patients with PEG and 2 with PBG had conversion of their gastrostomy to a gastrojejunal feeding tube. Of the remaining 98 PEG patients, 44(45%) had a change of gastrostomy tube (PEG-PEG or PEG-BG) under GA at a median 12 months [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] post-primary procedure.…”

Section: Post-operative Complicationsmentioning

confidence: 99%

“…This differs to the pull technique used in PEG where the gastric opening matches the size of the tube. This is done with a ''push'' technique; either via a minilaparotomy, laparoscopically where the stomach is grasped and brought to the abdominal wall for the device to be inserted (3)(4)(5)(6), or by an endoscopic approach using devices such as the Cope needle (7,8), or T-fastener (9). These techniques are not necessarily equivalent, as the extent of fixation of the stomach to the abdominal wall may vary, which in turn may affect the rate of complications such as displacement of the tube.…”

Section: What Is Newmentioning

confidence: 99%

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Open Primary Button Versus Laparoscopic Percutaneous Endoscopic Gastrostomy

Davidson

Lee

Suresh

et al. 2020

J. pediatr. gastroenterol. nutr.

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Open primary balloon gastrostomy (PBG) presents an potentialalternative to percutaneous endoscopic gastrostomy (PEG) in children as it obviates the need for change under general anaesthetic (GA), however the complication profile of PBGcompared to PEG is not well defined.Previous series comparing the two have been hampered by the two groups not being equivalent.Our paediatric surgical centre has offeredPBG as an alternative PEG since 2014. We used a matched case-control study to compare outcomes forPBG and PEG. MethodsPatients undergoing PBG were used as "cases"and matched 1:3 by age and diagnosis to patients undergoing PEG, demographics and clinical data as "controls". Primary outcome was rate of complications classified according to Clavien-Dindo(I-V). Secondary outcomes included time to feed and length of stay. Non-parametric, categorical analyses and multivariate logistic regression were performed. Data here presented as median [IQR]. ResultsWe included 140 patients (35 PBG:105 PEG). The two groups were comparable for gender, weight at surgery and follow-up duration. Median operative time was longer for PBG (43min ], p<0.001). Multivariate analysis demonstrated a statistically significant, higher incidence of symptomatic granulation tissue was more common in PBG (10(29%) vs 6(6%), p=0.0008), this remained significant on multivariate analysis ], p=0.001), nil other complication remained significant nor was overall complication rate statistically different. ConclusionsPBG and PEG have similar overall complication rates, however PBG appears to have a higher incidence of granulation tissue. This observation must be weighed against the need for further GA which is not insignificant in medically complex children.

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