The endoscopic U-stitch technique for primary button placement: an institution’s experience

Nixdorff, Neil; Diluciano, Jennifer; Ponsky, Todd A.; Chwals, Walter J.; Parry, Robert L.; Boulanger, Scott C.

doi:10.1007/s00464-009-0729-3

Cited by 14 publications

(1 citation statement)

References 9 publications

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“…This method uses transcutaneous U-stitches of nonabsorbable sutures on large needles for gastric fixation, placed under endoscopic visualization. Nixdorff et al 13 reported a 1.7% cellulitis rate and 0.9% colonic perforation rate in their retrospective review of 121 pediatric patients undergoing this procedure. In our technique the use of straight 18-gauge needles to place the lasso U-stitch reduces the risk of accidental intestinal injury from blind needle sweeps, comparable with T-fasteners.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Gastrostomy Button With Double-Lasso U-Stitch in Children

Seifarth

Dong

Guerrón

et al. 2015

JSLS

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Background and Objectives:Placement of surgical gastric access is a common operative procedure, with multiple techniques. We describe a cost-effective, safe, and easy-to-perform primary endoscopic gastrostomy button placement in the pediatric population, using a novel double–transcutaneous lasso U-stitch push technique.Methods:This is a retrospective review of a single center's experience of 24 consecutively performed primary gastrostomy button placements in infants and children aged 3 weeks to 20 years, from October 2012 through October 2014.Results:The procedure was generally well tolerated, with no intraoperative complications. No conversions to laparoscopic or open procedures were necessary. There were no early tube dislodgements and no postoperative complications within the first 4 weeks.Conclusion:The endoscopic primary gastrostomy button placement with a transcutaneous lasso U-stitch is a safe, fast, elegant, and cost-effective alternative to a standard percutaneous endoscopic gastrostomy placement.

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Section: Discussionmentioning

confidence: 99%