|
KMID : 1038820220250030211
|
|
Pediatric Gastroenterology, Hepatology & Nutrition
2022 Volume.25 No. 3 p.211 ~ p.217
|
|
|
To Button or Not to Button? Primary Gastrostomy Tubes Offer No Significant Advantage Over Buttons
|
|
Osei Hector
Munoz-Abraham Armando Salim
Martino Alice
Chatoorgoon Kaveer
Greenspon Jose
Fitzpatrick Colleen
Villalona Gustavo A.
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Gastrostomy, Tubes, Buttons, Nutrition, Pediatric
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|