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Purpose <p>Gastrostomy insertion is a frequently performed procedure in children for variable indications. Multiple devices are utilised, depending on surgeon and family preference. We present our initial experience with T-fasteners for primary balloon gastrostomy in our tertiary paediatric surgical centre.</p> Methods <p>Prospective data of paediatric patients who underwent T-fasteners gastrostomy over 8 months were collected. Laparoscopy and OGD were used in all the patients to confirm position and safe entry.</p> Results <p>Twenty-five patients were included over 6 months. Median age was 3.6 years. Mean operative time was 50.08 ± 14.29 min. Median hospital stay was 1 day (excluding 2 patients who had combined procedures requiring longer stay). No intra-operative complications were recorded in any of the patients. Two patients (8%) had early dislodgement of sutures. Three patients (12%) had granuloma and minimal leak in the early post-operative period which were managed conservatively.</p> Conclusion <p>T-fasteners show good reliability and feasibility with minimal complications. Early results are promising for less leakage rates and avoiding need for second GA. Larger size comparative studies are needed to investigate superiority of certain technique.</p>

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Laparoscopic assisted primary gastrostomy button insertion using T-fasteners: our initial experience

  • 期刊论文

  • 发表日期：

    2025年3月4日

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  • Ahmed Refaat Khodary,
  • Indre Zaparackaite,
  • Iain Yardley,
  • Hemanshoo Thakkar,
  • Alexandra Scarlett

摘要

Purpose

Gastrostomy insertion is a frequently performed procedure in children for variable indications. Multiple devices are utilised, depending on surgeon and family preference. We present our initial experience with T-fasteners for primary balloon gastrostomy in our tertiary paediatric surgical centre.

Methods

Prospective data of paediatric patients who underwent T-fasteners gastrostomy over 8 months were collected. Laparoscopy and OGD were used in all the patients to confirm position and safe entry.

Results

Twenty-five patients were included over 6 months. Median age was 3.6 years. Mean operative time was 50.08 ± 14.29 min. Median hospital stay was 1 day (excluding 2 patients who had combined procedures requiring longer stay). No intra-operative complications were recorded in any of the patients. Two patients (8%) had early dislodgement of sutures. Three patients (12%) had granuloma and minimal leak in the early post-operative period which were managed conservatively.

Conclusion

T-fasteners show good reliability and feasibility with minimal complications. Early results are promising for less leakage rates and avoiding need for second GA. Larger size comparative studies are needed to investigate superiority of certain technique.