Transfascial Temporary Fixation is Associated with an Increased Rate of Return to the Operating Room after Gastrostomy Tube Dislodgement When Compared to the Subcutaneous Stay Suture Technique: A Single-Institution Retrospective Analysis

jpedsurg.org

Gastrostomy tube dislodgement is a common postoperative complication in children, with reported rates of dislodgement from 10% to 43%. Understanding, and ultimately reducing, gastrostomy tube dislodgements and their consequences can help decrease the significant morbidity from this complication. We quantified the incidence, contributing factors, and complications after gastrostomy tube dislodgements at our institution.

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Article · May 2026 · 1 min read

In brief

This retrospective study compares two gastrostomy tube fixation methods in pediatric patients, finding that transfascial temporary fixation leads to higher rates of return to the operating room following tube dislodgement compared to subcutaneous stay sutures. The research addresses a common postoperative complication affecting 10-43% of pediatric gastrostomy patients.

Gastrostomy tube dislodgement occurs in 10-43% of pediatric cases, representing a significant postoperative complication.
Transfascial temporary fixation increases the rate of return to OR compared to subcutaneous stay suture technique.
Understanding fixation technique choice can help reduce morbidity from gastrostomy tube dislodgement in children.
Single-institution data suggests subcutaneous stay sutures may be superior for preventing complications requiring reoperation.

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