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Pre- and postoperative vomiting in children undergoing video-assisted gastrostomy tube placement

Torbjörn Backman1, Helén Sjövie1, Malin Mellberg1

  • 1Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.

Surgery Research and Practice
|November 8, 2014
PubMed

Insights

Preoperative vomiting in children undergoing Video-Assisted Gastrostomy (VAG) often persists post-surgery. Neurologically impaired children show higher vomiting rates, likely due to their condition, not the VAG procedure itself.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Video-Assisted Gastrostomy (VAG) is a common procedure in children.
  • Vomiting is a potential complication that requires investigation.
  • Understanding vomiting incidence pre- and post-VAG is crucial for patient management.

Purpose of the Study:

  • To determine the incidence of pre- and postoperative vomiting in pediatric patients undergoing VAG.
  • To analyze vomiting frequency based on underlying diagnoses.
  • To assess the impact of VAG on preoperative vomiting symptoms.

Main Methods:

  • Prospective study of 180 children undergoing VAG.
  • Data collection via parental anamnesis for preoperative vomiting.
  • Standardized documentation of complications, including vomiting, at 1 and 6 months post-VAG.
  • Subgroup analysis based on underlying diagnoses.

Main Results:

  • Preoperative vomiting occurred in 28% of children.
  • Postoperative vomiting incidence was 24% at 1 month and 22% at 6 months.
  • Significant differences in vomiting frequency were observed between diagnostic groups, but not within them.
  • Preoperative vomiting symptoms persisted post-VAG.

Conclusions:

  • Vomiting symptoms present before VAG tend to persist after the procedure.
  • Neurologically impaired children exhibit a higher incidence of vomiting, attributed to their underlying condition rather than the VAG operation.
  • Findings are valuable for preoperative counseling of pediatric patients and their families.

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