{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T04:10:14Z","timestamp":1746677414079,"version":"3.40.5"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100015763","name":"University of Szeged","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100015763","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>In our practice, there is a growing need to perform gastrostomy tube placement in infants and young children with feeding difficulties. To avoid possible complications arising from pull-through method (pull-through PEG) we began to perform a one-step endoscopic gastrostomy with a gastropexy device (push GT). This study aimed to evaluate the safety of this technique in infants and young children. In our study, 60 pull-through PEG and push GT procedures were retrospectively analysed in patients between 2.83 and 8.6\u00a0kg. We analysed the adverse events in both groups. Age, sex, weight, diagnosis, early (occurring\u2009\u2264\u20097 days after the procedure) and late (occurring\u2009&gt;\u20097 days after the procedure) complications were compared in the two groups. Median follow-up duration was 12 months. Early minor complications occurred only in the push GT group, but this was not statistically significant. There was no significant difference between the groups regarding early major complications. Late minor complications were significantly more common in the push GT group. There were no late major complications in the push GT group, which is statistically significant. In infants and young children, push GT with a gastropexy device is a safe method to perform gastrostomy even in patients unsuitable for pull-through PEG placement.<\/jats:p>","DOI":"10.1038\/s41598-025-96077-5","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T13:44:45Z","timestamp":1746625485000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety of a gastropexy device in infants and young children in percutaneous endoscopic gastrostomy tube placement"],"prefix":"10.1038","volume":"15","author":[{"given":"G.","family":"Gavall\u00e9r","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Bukva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"G\u00e1l","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"P\u00e1sztor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. T.","family":"Tak\u00e1cs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cs.","family":"Bereczki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Sz\u0171cs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"96077_CR1","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1097\/MPG.0000000000003207","volume":"73","author":"M Homan","year":"2021","unstructured":"Homan, M. et al. Percutaneous endoscopic gastrostomy in children: an update to the ESPGHAN position paper. J. Pediatr. Gastroenterol. Nutr. 73, 415\u2013426 (2021).","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"96077_CR2","doi-asserted-by":"publisher","first-page":"872","DOI":"10.1016\/S0022-3468(80)80296-X","volume":"15","author":"BW Michael Gauderer","year":"1980","unstructured":"Michael Gauderer, B. W., Ponsky, J. L., Izant, R. J. & Cleveland, J. Gastrostomy without laparotomy: A percutaneous endoscopic technique. J. Pediatr. Surg. 15, 872\u2013875 (1980).","journal-title":"J. Pediatr. Surg."},{"key":"96077_CR3","doi-asserted-by":"publisher","first-page":"1512","DOI":"10.1016\/S0022-3468(03)00505-0","volume":"38","author":"F Saitua","year":"2003","unstructured":"Saitua, F., Acu\u00f1a, R. & Herrera, P. Percutaneous endoscopic gastrostomy: the technique of choice? J. Pediatr. Surg. 38, 1512\u20131515 (2003).","journal-title":"J. Pediatr. Surg."},{"key":"96077_CR4","doi-asserted-by":"crossref","unstructured":"Blumenstein, I., Shastri, Y. M. & Stein, J. Gastroenteric tube feeding: techniques, problems and solutions. World J. Gastroenterol. ;8505\u20138524. (2014).","DOI":"10.3748\/wjg.v20.i26.8505"},{"key":"96077_CR5","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/0002-9610(84)90300-3","volume":"148","author":"TR Russell","year":"1984","unstructured":"Russell, T. R., Francisco, S., Brotman, M. & Norris, F. Percutaneous gastrostomy A new simplified and Cost-Effective technique. Am. J. Surg. 148, 132\u2013137 (1984).","journal-title":"Am. J. Surg."},{"key":"96077_CR6","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1148\/radiology.158.2.2934763","volume":"158","author":"AS Brown","year":"1986","unstructured":"Brown, A. S., Mueller, P. R. & Ferrucci, J. T. Jr Controlled percutaneous gastrostomy: nylon T-fastener for fixation of the anterior gastric wall. Radiology 158, 543\u2013545 (1986).","journal-title":"Radiology"},{"key":"96077_CR7","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1097\/00019509-199608000-00003","volume":"6","author":"WC Boswell","year":"1996","unstructured":"Boswell, W. C., Boyd, C. R. & Lord, S. A. Percutaneous endoscopic gastrostomy with T-bar fixation in children. Surg. Laparosc. Endosc. 6, 262\u2013265 (1996).","journal-title":"Surg. Laparosc. Endosc"},{"key":"96077_CR8","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1007\/s00464-007-9402-x","volume":"22","author":"NE Terry","year":"2008","unstructured":"Terry, N. E. et al. Percutaneous endoscopic gastrostomy with T-bar fixation in children and infants. Surg. Endoscopy Other Interventional Techniques. 22, 167\u2013170 (2008).","journal-title":"Surg. Endoscopy Other Interventional Techniques"},{"key":"96077_CR9","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1177\/0148607114567202","volume":"40","author":"G G\u00f6thberg","year":"2016","unstructured":"G\u00f6thberg, G. & Bj\u00f6rnsson, S. One-step insertion of low-profile gastrostomy in pediatric patients vs pull percutaneous endoscopic gastrostomy. J. Parenter. Enter. Nutr. 40, 423\u2013430 (2016).","journal-title":"J. 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Safety of the one step percutaneous endoscopic gastrostomy (Push-PEG) button in pediatric patients. J. Pediatr. Gastroenterol. Nutr. 77, 828\u2013834 (2023).","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"96077_CR13","doi-asserted-by":"publisher","first-page":"E179","DOI":"10.1055\/s-0043-122227","volume":"06","author":"M Kvello","year":"2018","unstructured":"Kvello, M. et al. Initial experience with percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients. Endosc Int. Open. 06, E179\u2013E185 (2018).","journal-title":"Endosc Int. Open."},{"key":"96077_CR14","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1016\/j.jpedsurg.2022.03.025","volume":"57","author":"MO Dahlseng","year":"2022","unstructured":"Dahlseng, M. O. et al. Reduced complication rate after implementation of a detailed treatment protocol for percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients: A prospective study. J. Pediatr. 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Nutr."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-96077-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-96077-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-96077-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T13:44:48Z","timestamp":1746625488000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-96077-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,7]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["96077"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-96077-5","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,7]]},"assertion":[{"value":"14 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This is an observation study. This study protocol was approved by the Human Investigation Review Board of the University of Szeged, Albert Szent-Gy\u00f6rgyi Clinical Centre. All methods were performed in accordance with the relevant guidelines and regulations. Written informed consent was obtained from all parents and\/or legal guardians. All data were anonymized.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"15954"}}