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Impact of Scoliosis Severity on Gastrostomy-Related Complications in Children

Bade Toker Kurtmen1, Aslihan Nalli1, Mustafa Onur Oztan2

  • 1From the Department of Pediatric Surgery, University of Health Sciences, Tepecik Education and Research Hospital, Izmir, Turkey.

Journal of Pediatric Gastroenterology and Nutrition
|June 28, 2023
PubMed

Insights

The risk of gastrostomy complications did not correlate with scoliosis severity in surgical gastrostomy (SG) patients. However, percutaneous endoscopic gastrostomy (PEG) patients with severe scoliosis had a higher risk of major complications.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Orthopedic Surgery

Background:

  • Gastrostomy is crucial for pediatric nutritional support and weight gain.
  • Scoliosis is a common spinal deformity in children, potentially impacting surgical outcomes.
  • Understanding the interplay between scoliosis and gastrostomy complications is essential for patient management.

Purpose of the Study:

  • To investigate the relationship between scoliosis severity and the risk of complications following gastrostomy procedures.
  • To compare complication rates and their correlation with scoliosis in patients undergoing surgical gastrostomy (SG) versus percutaneous endoscopic gastrostomy (PEG).

Main Methods:

  • A retrospective study included 104 patients who underwent SG or PEG between 2012 and 2022.
  • Complications were categorized as minor (leakage, discharge, granuloma, hyperemia) or major (visceral injury, ileus, re-do surgery).
  • Scoliosis degree was measured using the Cobb angle; correlations with complication types were analyzed for both SG and PEG groups.

Main Results:

  • Minor complications were more frequent in the PEG group compared to the SG group.
  • No significant difference in major complication rates was observed between SG and PEG.
  • In the PEG group, a higher Cobb angle correlated with an increased risk of major complications, unlike in the SG group where no correlation was found.

Conclusions:

  • Surgical gastrostomy complication risk is independent of scoliosis severity.
  • Percutaneous endoscopic gastrostomy carries an increased risk of major complications in pediatric patients with severe scoliosis.
  • Scoliosis assessment may be warranted in pediatric patients undergoing PEG to stratify complication risk.
Abstract

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