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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
PubMed

Insights

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.
Abstract

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