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<p>One-step button percutaneous endoscopic gastrostomy (B-PEG) is a method for gastrostomy placement. Few studies have described complications associated with T-fasteners. This study aimed to assess the incidence and risk factors of post-gastrostomy T-bar retention. Children who underwent one-step button percutaneous endoscopic gastrostomy (B-PEG) placement in our tertiary center between 2009 and 2020 were included in this retrospective study. Patient characteristics, comorbidities, complications, and potential risk factors were analyzed. All post-procedure radiological examinations, T-bar numbers, and durations post-procedure were collected. T-bar retention was considered at least one T-bar after 6 weeks post-B-PEG. A total of 679 children (337 boys; median age at B-PEG, 1.7 years) were included. Among 483 patients with radiological examinations analyzed, 361 (74.7%) had at least one T-bar impaction at the first radiological examination (median time after B-PEG, 0.55 years). Younger age at B-PEG was a risk factor for T-bar impaction (odds ratio [OR]: 2.82, 95% confidence interval [CI]: [1.71–4.66], <i>P</i> &lt; .0001). Nearly 75% of children presented T-bar impaction. These data indicate that to avoid gastropexy complications, discussion of early removal of T-fasteners post-B-PEG is warranted.</p>

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Gastropexy device impaction in children with push percutaneous endoscopic gastrostomy

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月3日

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  • Juliette Viart,
  • Matthieu Antoine,
  • Madeleine Aumar,
  • Léa Chantal Tran,
  • Dominique Guimber,
  • Stéphanie Coopman,
  • Clémence Saingier,
  • Maxime Leroy,
  • Delphine Ley,
  • Frédéric Gottrand

摘要

One-step button percutaneous endoscopic gastrostomy (B-PEG) is a method for gastrostomy placement. Few studies have described complications associated with T-fasteners. This study aimed to assess the incidence and risk factors of post-gastrostomy T-bar retention. Children who underwent one-step button percutaneous endoscopic gastrostomy (B-PEG) placement in our tertiary center between 2009 and 2020 were included in this retrospective study. Patient characteristics, comorbidities, complications, and potential risk factors were analyzed. All post-procedure radiological examinations, T-bar numbers, and durations post-procedure were collected. T-bar retention was considered at least one T-bar after 6 weeks post-B-PEG. A total of 679 children (337 boys; median age at B-PEG, 1.7 years) were included. Among 483 patients with radiological examinations analyzed, 361 (74.7%) had at least one T-bar impaction at the first radiological examination (median time after B-PEG, 0.55 years). Younger age at B-PEG was a risk factor for T-bar impaction (odds ratio [OR]: 2.82, 95% confidence interval [CI]: [1.71–4.66], P < .0001). Nearly 75% of children presented T-bar impaction. These data indicate that to avoid gastropexy complications, discussion of early removal of T-fasteners post-B-PEG is warranted.