Related Experiment Videos
Gastric prolapse through a gastrostomy tract
Tracey A Janik1, Richard J Hendrickson, Joseph S Janik
1Division of Surgery, Department of Pediatric Surgery, University of Colorado Health Sciences Center, Denver, CO, USA.
Journal of Pediatric Surgery
|June 24, 2004
Summary
Gastric prolapse through a gastrostomy tract affects 1.2% of children, particularly those with ventilator dependence, poor nutrition, or neurologic disorders. Certain gastrostomy devices and techniques increase prolapse risk.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Devices
Background:
- Gastric prolapse through a gastrostomy tract is a rare complication in children.
- Limited data exists on its incidence and associated risk factors.
Purpose of the Study:
- To determine the incidence of gastric prolapse in children with gastrostomy tubes.
- To identify patient and device characteristics associated with gastric prolapse.
Main Methods:
- Retrospective review of 1,042 pediatric patients with gastrostomy construction between 1992 and 2002.
- Analysis of 14 parameters to identify correlations with gastric prolapse incidence.
Main Results:
- Gastric prolapse occurred in 1.2% of children (13/1,042), with recurrent prolapse in 0.5% (5/1,042).
- Risk factors included ventilator dependence (31%), poor nutrition (54%), and neurologic disorders (58%).
- Gastrostomy devices with both ends fixed and rigid (2.7%) and laparoscopic gastrostomy techniques were associated with higher prolapse rates.
Conclusions:
- Children with poor nutrition, ventilator dependence, or neurologic disorders are prone to gastric prolapse.
- Fixed, rigid gastrostomy devices and laparoscopic techniques are associated with increased risk.