A Prospective, Randomized Cross-over Trial of 2 Low-profile Gastrostomy Buttons to Determine Family Preference.

Creator(s)

Ruba A. Abdelhadi, Children's Mercy HospitalFollow
Charlene Dekonenko, Children's Mercy Hospital
Robert M. Dorman, Children's Mercy Hospital
Tolulope A. Oyetunji MD MPH, Children's Mercy, Kansas City MOFollow
Shawn D. St Peter, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

3-2020

Identifier

DOI: 10.1097/MPG.0000000000002585

Abstract

Low-profile gastrostomy balloon buttons are often used in the pediatric population. We conducted a prospective, randomized crossover trial to determine family preference comparing MIC-KEY (tube A) and MiniONE (tube B) buttons. Patients were randomized to tube A and tube B at placement. At 2 months, patients were given the opposite button. At 4 months, parents indicated their preferred button. A standardized assessment tool was used to assess gastrostomy site skin complications and device malfunction. One hundred fifty-eight patients were randomized, 79 each to receive tube A or tube B first. Sixty-eight with tube A and 60 with tube B completed their first follow-up. Sixty-five with tube A and 43 with tube B completed crossover, 69% of whom preferred tube B (P < 0.001). Including those who preferred their first button and declined to switch at 2 months, 91 of 127 (72%) kept tube B, demonstrating a strong preference for tube B.

Journal Title

Journal of pediatric gastroenterology and nutrition

Volume

70

Issue

3

First Page

386

Last Page

388

Recommended Citation

Abdelhadi RA, Dekonenko C, Dorman RM, Oyetunji TA, St Peter SD. A Prospective, Randomized Cross-over Trial of 2 Low-profile Gastrostomy Buttons to Determine Family Preference. J Pediatr Gastroenterol Nutr. 2020;70(3):386-388. doi:10.1097/MPG.0000000000002585