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Postoperative complications in children undergoing gastrostomy tube placement

Jessica A Naiditch1, Timothy Lautz, Katherine A Barsness

  • 1Division of Pediatric Surgery, Department of Surgery, Children's Memorial Hospital, Chicago, Illinois 60614-3363, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|August 14, 2010
PubMed

Insights

Gastrostomy tube complications like granulation tissue and dislodgement are common in children. Patient factors and surgical methods did not predict these issues, highlighting frequent emergency department visits.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Gastrostomy tube placement in children frequently leads to postoperative complications.
  • Identifying predictors for these complications is crucial for improving patient outcomes.

Purpose of the Study:

  • Determine the incidence of postoperative gastrostomy complications in pediatric patients.
  • Investigate if patient demographics, comorbidities, or operative techniques predict these complications.

Main Methods:

  • Retrospective review of 159 children undergoing gastrostomy tube placement (June 2006-August 2009).
  • Data collected included demographics, comorbidities, operative technique, healthcare visits, and complications.
  • Statistical analysis using chi-squared tests (P < 0.05).

Main Results:

  • Granulation tissue (58%) and tube dislodgement (28%) were the most frequent complications.
  • Tube dislodgement led to 59 emergency department visits.
  • Patient demographics and operative technique did not predict complication incidence.

Conclusions:

  • Granulation tissue and tube dislodgement are primary complications post-pediatric gastrostomy.
  • No significant predictors identified among patient characteristics or surgical approaches.
  • High utilization of emergency departments for gastrostomy-related issues in children.
Abstract

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