Endoscopic gastrostomy button with double-lasso U-stitch in children.

Journal Article (Journal Article)

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.


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.


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.


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.

Full Text

Cited Authors

  • Seifarth, FG; Dong, ML; Guerron, AD; Lozada, JS; Magnuson, DK

Published Date

  • January 2015

Published In

Volume / Issue

  • 19 / 1

Start / End Page

  • e2015.00002 -

PubMed ID

  • 25848198

Pubmed Central ID

  • PMC4379868

Electronic International Standard Serial Number (EISSN)

  • 1938-3797

International Standard Serial Number (ISSN)

  • 1086-8089

Digital Object Identifier (DOI)

  • 10.4293/jsls.2015.00002


  • eng