{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:57:16Z","timestamp":1791413836240,"version":"4.3.3"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Insertion of a percutaneous endoscopic gastrostomy (PEG) with push-through technique and T-fastener fixation (PEG-T) has recently been introduced in pediatric patients. The T-fasteners allow a primary insertion of a balloon gastrostomy. Due to limited data on the results of this technique in children, we have investigated peri- and postoperative outcomes after implementation of PEG-T in our department.<\/jats:p><jats:p>\n          Patients and methods\u2002This retrospective chart review included all patients below 18\u00a0years who underwent PEG-T placement from 2010 to 2014. Main outcomes were 30-day postoperative complications and late gastrostomy-related complications.<\/jats:p><jats:p>\n          Results\u2002In total, 87 patients were included, and median follow-up time was 2.4\u00a0years (1\u00a0month \u2013 4.9\u00a0years). Median age and weight at PEG-T insertion were 1.9\u00a0years (9.4\u00a0months \u2013 16.4\u00a0years) and 10.4\u200akg (5.4\u200a\u2013\u200a33.0\u200akg), respectively. Median operation time was 28\u00a0minutes (10\u200a\u2013\u200a65\u00a0minutes), and 6 surgeons and 3 endoscopists performed the procedures. During the first 30\u00a0days, 54 complications occurred in 41 patients (47\u200a%). Most common were peristomal infections treated with either local antibiotics in 11 patients (13\u200a%) or systemic antibiotics in 11 other patients (13\u200a%). 9 patients (10\u200a%) experienced tube dislodgment. Late gastrostomy-related complications occurred in 33 patients (38\u200a%). The T-fasteners caused early and late complications in 9 (10\u200a%) and 11 patients (13\u200a%), respectively. Of these, 4 patients (5\u200a%) had subcutaneously migrated T-fasteners which were removed under general anesthesia.<\/jats:p><jats:p>\n          Conclusion\u2002We found a high rate of complications after PEG-T. In particular, problems with the T-fasteners and tube dislodgment occurred frequently after PEG-T insertion.<\/jats:p>","DOI":"10.1055\/s-0043-122227","type":"journal-article","created":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T23:39:01Z","timestamp":1517528341000},"page":"E179-E185","source":"Crossref","is-referenced-by-count":21,"title":["Initial experience with percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients"],"prefix":"10.1055","volume":"06","author":[{"given":"Morten","family":"Kvello","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"},{"name":"Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Knatten","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f8ri","family":"Perminow","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Skari","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Engebretsen","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ole","family":"Schistad","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragnhild","family":"Emblem","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"},{"name":"Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Bj\u00f8rnland","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, University of Oslo, Oslo, Norway"},{"name":"Department of Gastrointestinal and Pediatric Surgery, Oslo University Hospital, Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,2,1]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-122227.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T20:10:57Z","timestamp":1557173457000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-122227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2018,2,1]]},"published-print":{"date-parts":[[2018,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-122227","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2]]}}}