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Updated: Mar 24, 2026

A Protocol for Roux-en-Y Gastric Bypass in Rats using Linear Staplers
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Minimizing variance in pediatric gastrostomy: does standardized perioperative feeding plan decrease cost and improve

Rachel Sunstrom1, Nicholas Hamilton1, Elizabeth Fialkowski1

  • 1Division of Pediatric Surgery, Department of Surgery, Oregon Health & Science University, Portland, OR 97239, USA.

American Journal of Surgery
|March 21, 2016
PubMed
Summary
This summary is machine-generated.

Implementing a laparoscopic gastrostomy protocol reduced hospital length of stay without impacting patient outcomes or increasing costs. This standardized approach to gastrostomy tube management is achievable and effective.

Keywords:
GastrostomyMinimizing variancePediatric surgeryStandardizing care

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Area of Science:

  • Surgical Procedures
  • Healthcare Management
  • Patient Outcomes

Background:

  • A protocol for laparoscopic gastrostomy placement was implemented, detailing perioperative antibiotics, feeding regimens, and discharge criteria.
  • The study hypothesized that this protocol could decrease hospital costs while maintaining or improving patient outcomes.

Purpose of the Study:

  • To evaluate the impact of a standardized laparoscopic gastrostomy protocol on hospital costs and patient outcomes.
  • To assess surgeon compliance with the implemented protocol.

Main Methods:

  • Data collected on consecutive patients post-protocol implementation compared to a 6-month historical control period.
  • Evaluated surgeon compliance, 30-day patient complication rates (NSQIP), and initial hospitalization costs.

Main Results:

  • Shorter length of stay observed in the protocol group (n=39) compared to the control group (n=26).
  • Similar complication rates between groups (15% protocol vs. 23% control).
  • No significant difference in initial hospital costs; surgeon compliance was 82%.

Conclusions:

  • A standardized protocol for gastrostomy tube management is feasible.
  • The implemented protocol significantly decreased length of stay while maintaining patient quality.