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Published on: April 17, 2020
Gastrostomy complications in infants and children: a comparative study
Robert Thomas Peters1, Bram Balduyck, Shawqui Nour
1Department of Paediatric Surgery, Leicester Royal Infirmary, Leicester, LE1 5WW, UK. rtp199@doctors.org.uk
Pediatric Surgery International
|May 11, 2010
Summary
Laparoscopic-assisted percutaneous endoscopic gastrostomy (PEG) insertion in children is effective, with laparoscopy aiding in avoiding gastrocolic fistulae. This method demonstrates a favorable outcome for pediatric gastrostomy procedures.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Minimally invasive procedures
Background:
- Gastrostomy is a frequent procedure in pediatric care.
- Laparoscopic techniques have become standard for aiding gastrostomy insertion.
- This study evaluates laparoscopic-assisted gastrostomy outcomes in children.
Purpose of the Study:
- To review the outcomes and complications associated with laparoscopic-assisted gastrostomy insertion in pediatric patients.
- To compare the safety and efficacy of laparoscopic-assisted gastrostomy versus standard percutaneous endoscopic gastrostomy (PEG).
Main Methods:
- Retrospective review of pediatric cases undergoing gastrostomy insertion by a single surgeon between 1999 and 2007.
- Analysis of patient demographics, procedure type (laparoscopic-assisted PEG vs. standard PEG), and follow-up data.
- Documentation of all observed complications.
Main Results:
- 114 children underwent gastrostomy; 86% had laparoscopic-assisted PEG.
- Complications included gastro-oesophageal reflux (16), infection (9), and granulation tissue (11).
- Two gastrocolic fistulae occurred in the standard PEG group, but none in the laparoscopic-assisted group.
Conclusions:
- Laparoscopic assistance in percutaneous endoscopic gastrostomy (PEG) insertion effectively prevents gastrocolic fistula formation in children.
- Laparoscopic-assisted gastrostomy is a safe and effective method for pediatric gastrostomy placement.
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