Recent developments in surgical pediatrics have created alternative methods for feeding tubes. Percutaneous ultrasound gastrostomy (PUG) tube is a safe and cost-effective alternative to traditional percutaneous endoscopic gastrostomy (PEG) tubes. Placing a PUG tube can reduce complications and length of stay, thereby reducing costs. While this is often done in adults, examining its feasibility in children is important. Before the use of PUG tubes, the placement of PEG tubes was considered a much more invasive procedure involving anesthesia, a procedural room, and consults to a variety of medical specialties. PUG tube placement has decreased the length of hospital stays, shortened medical complications, and lessened the cost associated with hospitalization. The use of PUG tubes also significantly impacts the patient and family, which will also be discussed in the article.
AccorsiF.ChungJ.MujoomdarA.WisemanD.KribsS.CoolD. W. (2021). Percutaneous ultrasound gastrostomy (PUG): First prospective clinical trial. Abdominal Radiology, 46(11), 5377–5385. https://doi.org/10.1007/s00261-021-03200-x
2.
BermanL.BairdR.Sant’AnnaA.RosenR.PetriniM.CellucciM.FuchsL.CostaJ.LesterJ.StevensJ.MorrowM.JaszczyszynD.AmaralJ.GoldinA. (2022). Gastrostomy tube use in pediatrics: A systematic review. Pediatrics, 149(6), e2021055213. https://doi.org/10.1542/peds.2021-055213
3.
ChurchJ. T.SpeckK. E.JarboeM. D. (2017). Ultrasound-guided gastrostomy tube placement: A case series. Journal of Pediatric Surgery, 52(7), 1210–1214. https://doi.org/10.1016/j.jpedsurg.2017.03.061
FrankC.WilliamsR. F.BouldenT.KinkR.PatonE. A. (2022). Ultrasound is safe and highly specific for confirmation of proper gastrostomy tube replacement in pediatric patients. Journal of Pediatric Surgery, 57(10), 390–395. https://doi.org/10.1016/j.jpedsurg.2022.01.024
6.
GaballahM.AcordM. R.EscobarF. A.KrishnamurthyG.VatskyS.SrinivasanA.CahillM. (2022). Adjunctive techniques for percutaneous enteral access in children: A pictorial review. Pediatric Radiology, 53(2), 324–331. https://doi.org/10.1007/s00247-022-05473-w
7.
HomanM.HauserB.RomanoC.TzivinikosC.TorroniF.GottrandF.HojsakI.Dall’oglioL.ThomsonM.BontemsP.NarulaP.FurlanoR.OlivaS.DiasJ. (2021). Percutaneous endoscopic gastrostomy in children: An update to the ESPGHAN position paper. Journal of Pediatric Gastroenterology and Nutrition, 73(3), 415–426. https://doi.org/10.1097/MPG.0000000000003207
MahmodabadiA. Z.ZakerimoghadamM.FatahS. G.SohrabiA.DolatabadiZ. A. (2020). Nursing empowerment by simulation in percutaneous endoscopic gastrostomy short-time complication control: Protocol study. Journal of Education and Health Promotion, 9, 236. https://doi.org/10.4103/jehp.jehp_155_19
10.
MarshallJ. D.HeavnerJ. J.OlivieriP. P.VanH. K.ThomasJ.AnnousY.WilkersonR. G. (2022). Length of stay and hospital cost reductions after implementing bedside percutaneous ultrasound gastrostomy (PUG) in a critical care unit. Journal of Intensive Care Medicine, 37(12), 1667–1672. https://doi.org/10.1177/08850666221097018
11.
OlivieriP. P.AbdulmahdiM.HeavnerJ. J. (2020). Bedside percutaneous ultrasound gastrostomy tube placement by critical care physicians. Journal of Clinical Ultrasound, 49(1), 28–32. https://doi.org/10.1002/jcu.22895
12.
PUG: The No-Delay Alternative to PEG. (n.d.). CoapTech | the PUMA-G System | the World’s first ultrasound gastrostomy solution. https://www.coaptech.com/pug-for-ccem
13.
ReisS. P.BrejtS. Z.WeintraubJ. R.AhmadN.SusmanJ.MobleyD. G. (2021). Percutaneous ultrasound guided gastrostomy tube placement: A prospective cohort trial. Journal of Intensive Care Medicine, 37(5), 641–646. https://doi.org/10.1177/08850666211015595
WilkersonG. R.PustavoitauA.CarolanH.BennerN.FischerC.SheetsD. J.WangP. I.TropelloS. (March 6, 2019). Percutaneous ultrasound gastrostomy: A novel device and bedside procedure for gastrostomy tube insertion using magnetic and ultrasound guidance. Journal of Medical Devices, 13(2), 024501. https://doi.org/10.1115/1.4042866
