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[Percutaneous gastrostomy: when should antireflux surgery be associated?]
1Hospital Materno Infantil Gregorio Marañón, Madrid. carol.corona@hotmail.com
Summary
Children needing percutaneous gastrostomy (PEG) with neurological impairment or documented GER may benefit from concurrent anti-reflux surgery. This can prevent future complications and improve feeding outcomes.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Context:
- Percutaneous gastrostomy (PEG) is common for pediatric feeding issues.
- The decision for concurrent anti-reflux surgery during PEG is often debated.
Purpose:
- To identify preoperative factors predicting the need for anti-reflux surgery alongside PEG placement.
- To analyze associations between preoperative conditions and severe gastroesophageal reflux post-PEG.
Summary:
- A retrospective review of 67 pediatric patients undergoing PEG was conducted.
- Patients were divided into those requiring Nissen fundoplication post-PEG and those without reflux.
- Neurological impairment and pre-PEG documented GER were significantly associated with requiring anti-reflux surgery.
Impact:
- Identifies key indicators for concurrent anti-reflux surgery during PEG.
- Informs clinical decision-making to optimize outcomes for children with feeding difficulties and reflux.
- Potentially reduces the need for staged surgical interventions.
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