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Effects of Exogenous Adenosine on Heart Rate Variability Indices in Newborn Rats.

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[Button gastrostomy in children].

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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.

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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.