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[Button gastrostomy in children].
Iu A Kozlov1, V A Novozhilov2, A A Rasputin3
1Tsentr khirurgii i reanimatsii novorozhdennykh Gorodskoĭ Ivano-Matreninskoĭ detskoĭ klinicheskoĭ bol'nitsy, Irkutsk; Kafedra detskoĭ khirurgii Irkutskoĭ gosudarstvennoĭ meditsinskoĭ akademii poslediplomnogo obrazovaniia.
Khirurgiia
|April 25, 2015
Summary
Laparoscopic gastrostomy tube placement using button devices in infants is faster and leads to earlier feeding and shorter hospital stays compared to open surgery. This technique also shows a lower complication rate.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Procedures
Background:
- Gastrostomy tubes are essential for enteral nutrition in infants.
- Traditional open gastrostomy carries risks and prolonged recovery.
- Laparoscopic techniques offer potential advantages.
Purpose of the Study:
- To compare the outcomes of open versus laparoscopic gastrostomy tube placement in neonates and infants.
- To evaluate surgical duration, feeding initiation, hospital stay, and complication rates.
Main Methods:
- Retrospective analysis of 84 gastrostomy tube insertions between 2002 and 2013.
- Two groups: 24 open surgeries and 60 laparoscopic surgeries using MIC-KEY button devices.
- Comparison of demographic, intraoperative, and postoperative parameters.
Main Results:
- Laparoscopic surgery duration was significantly shorter (23.97 min vs. 37.29 min).
- Earlier initiation of feeding and complete enteral nutrition in the laparoscopic group (10.5 vs. 19.13 hours).
- Shorter hospital stay (7.09 vs. 11.71 days) and lower complication rates (18.33% vs. 24%) in the laparoscopic group.
Conclusions:
- Laparoscopic gastrostomy with button devices is a safe and effective technique for pediatric patients.
- This method offers reduced surgical time, faster nutritional rehabilitation, and fewer complications.
- Button devices simplify gastrostomy establishment, promoting early enteral nutrition.
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