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Long-term outcomes of children undergoing video-assisted gastrostomy

Martin Salö¹, Ana Santimano¹, Sofia Helmroth¹

¹Skåne University Hospital and Lund University, Lund, Sweden.

Pediatric Surgery International

|November 4, 2016

Insights

Complications following video-assisted gastrostomy (VAG) decrease over time. Longer retention of the gastrostomy device increases the likelihood of needing surgical repair (gastroraphy) upon removal.

Area of Science:

Pediatric Surgery
Gastroenterology

Background:

Video-assisted gastrostomy (VAG) is a common procedure for enteral feeding in children.
Understanding complication rates and risk factors is crucial for optimizing patient care.

Purpose of the Study:

To evaluate short- and long-term complication rates associated with VAG.
To determine the influence of age and gender on long-term complications.
To assess the impact of gastrostomy tube retention duration on the need for gastroraphy.

Main Methods:

Retrospective analysis of 170 children who underwent VAG at a single institution.
Exclusion of children who died or relocated.
Comparison of short-term (3-6 months) and long-term (≥2 years) complication rates.

Main Results:

Common complications included granulation tissue, leakage, infection, and vomiting.
No significant differences in complication rates were observed based on age or gender.
Children requiring gastroraphy had a significantly longer duration of gastrostomy device use compared to those with spontaneous closure.

Conclusions:

Complication rates following VAG tend to decrease over time.
Prolonged retention of the gastrostomy device is associated with an increased need for gastroraphy.

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Abstract

Purpose:

The aims of this study were to assess the short- and long-term complication rates after video-assisted gastrostomy (VAG), the effects of age and gender on long-term complications and the effect of duration of gastrostomy tube retention on the need for gastroraphy when the gastrostomy device was removed.

Methods:

This was a retrospective study of children undergoing VAG at a single institution. Children who died or moved from the area were excluded. The rates of short- and long-term complications developing at 3-6 months or 2 or more years, respectively, were compared.

Results:

A total of 170 children were studied, out of a cohort of 303 children. The median age at surgery was 2 years. The median duration of postoperative long-term follow-up was 5 years (2-9 years). The complications at the respective short and long-term follow-ups were as follows: granulation tissue, leakage, infection and vomiting. There were no differences in the short- versus long-term complication rates for gender and age. Children needing gastroraphy had used a gastrostomy device significantly longer compared with children with spontaneous closure.

Conclusion:

Complications after VAG decrease over time. A longer duration of gastrostomy device retention leads to increased need for gastroraphy.

Keywords:

Children Gastroraphy Gastrostomy Laparoscopy Long term Outcome

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