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[Percutaneous gastrostomy: when should antireflux surgery be associated?]

C Corona1, A Cañizo, J Cerda

  • 1Hospital Materno Infantil Gregorio Marañón, Madrid. carol.corona@hotmail.com

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|November 20, 2012
PubMed

Insights

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.
Abstract

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