title: [One-step low profile percutaneous endoscopic gastrostomy: our experience in children].
abstract: OBJECTIVE
  Percutaneous endoscopic gastrostomy (thu) is the preferred method for the placement of a gastrostomy in children. In recent years a system to perform a button gastrostomy in one step has been designed (PEG-B). This system offers advantages over classical PEG although the potential risk of complications is greater. The aim of this paper is to present our experience with PEG-B.
  
  
  METHODS
  . Retrospective review of pediatric patients who have received the PEG-B system during 2013 in Hospital Universitario Son Espases, Pamna de Mallorca. Parameters analyzed included demographics, indications, feeding start, length of hospital stay and complications.
  
  
  RESULTS
  . A total of 8 patients, aged 8 months to 14 years, were included in the study. Indications were neurologic disease in 4 patients, metabolic disorders in 3 and tumors in 1. The weight range was 5.5 to 36 kg with a median of 12.4 kg. 16 Fr buttons were placed with length adjusted to each patient. The use of the gastrostomy started between 4-48 hours. The average length of hospital stay was 43.5 hours (24h-72h). There have been no major complications in 6 months follow up. A single pneumoperitoneum occurred postoperatively and two granulomas, one of them at one of the anchor points of the gastrostomy.
  
  
  CONCLUSIONS
  Although it is a small series, no major complications were found and results are comparable to results published in the surgical literature in both techniques. We believe that the PEG-B is a good choice for PEG placement in children.
authors.forename: A
authors.initials: A
authors.lastname: Moreno Montero
authors.forename: C
authors.initials: C
authors.lastname: Barceló Cañellas
authors.forename: J I
authors.initials: JI
authors.lastname: Bregante Ucedo
authors.forename: A
authors.initials: A
authors.lastname: García Baglietto
authors.forename: C
authors.initials: C
authors.lastname: Marhuenda Irastorza
mesh_terms: D000293:Adolescent; D002675:Child, Preschool; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005773:Gastroscopy / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors