Related Experiment Video

Updated: Jan 26, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

52.1K

Technique and History of Abdominal Surgery Are Associated With Need for Gastrocutaneous Fistula Closure Following

Kerry A Swanson1, Madeleine E Yancy2, Daniel M Alligood1

  • 1Department of Surgery, Washington University, St Louis, Missouri.

The Journal of Surgical Research
|January 24, 2026
PubMed

Insights

Persistent gastrocutaneous fistulas (GCF) after gastrostomy tube (GT) removal are common in children. Younger age, abdominal surgeries, and purse-string securement increase GCF risk, suggesting alternative feeding tube methods for infants.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Persistent gastrocutaneous fistula (GCF) after gastrostomy tube (GT) removal is a frequent complication requiring surgical intervention.
  • Identifying factors contributing to GCF is crucial for optimizing pediatric feeding tube management.

Purpose of the Study:

  • To investigate factors associated with the need for operative closure of GCF in pediatric patients.
  • To compare the outcomes of different GT securement techniques and patient demographics.

Main Methods:

  • Retrospective case-control study of 178 pediatric patients who underwent GT placement and removal between 2018 and 2023.
  • Multivariate regression and direct comparisons were used to analyze factors influencing GCF development and operative closure.

Main Results:

  • The prevalence of GCF requiring operative closure was 27.5%.
  • Prior/concurrent abdominal surgery (OR 5.30/4.50) and purse-string securement (OR 8.52) were associated with increased GCF risk.
  • Younger age (< 6 months) correlated with higher GCF rates and shorter GT indwelling times.

Conclusions:

  • GCF risk in pediatric patients is linked to younger age, abdominal surgeries, and specific securement methods.
  • Transabdominal securement may reduce GCF persistence without increasing dislodgement.
  • Consideration of nasoenteric tubes over GTs for children under 6 months is recommended due to higher GCF rates.
Abstract

Keywords:
Abdominal surgeryCase-control studyGastrocutaneous fistulaGastrostomyPediatric

More Related Videos

A Modified Technique for Arteriovenous Fistula Construction in Rabbits05:00

A Modified Technique for Arteriovenous Fistula Construction in Rabbits

Published on: February 10, 2023

1.8K
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery07:36

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

2.3K

Related Concept Videos

What is Evolutionary History?02:35

What is Evolutionary History?

Scientists record evolutionary history by analyzing fossil, morphological, and genetic data. The fossil record documents the history of life on Earth and provides evidence for evolution. However, both fossil and living organisms offer evidence that outlines Earth’s evolutionary history.
43.0K
History of Microbiology01:28

History of Microbiology

Microbiology, a scientific field dedicated to the study of microorganisms, has undergone profound development since its inception in the 17th century. Its history is marked by key discoveries and technological advancements that have shaped our understanding of life at the microscopic level and transformed medicine, agriculture, and industry.Early Foundations of MicrobiologyThe early foundations of microbiology were built on groundbreaking observations and the development of pioneering...
8.8K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
920
Life Histories01:29

Life Histories

Overview
22.6K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
419
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.2K