Gastrostomy Placement in Children: Percutaneous Endoscopic Gastrostomy or Laparoscopic Gastrostomy?

Overview

Journal Surg Laparosc Endosc Percutan Tech

Specialties Gastroenterology
General Surgery
Radiology

Date 2016 Sep 24

PMID 27661204

Citations 12

Authors

Laura Merli

Erika A DE Marco

Camilla Fedele

Elena J Mason

Alessandra Taddei

Filomena V Paradiso

Vincenzo D Catania

Lorenzo Nanni

Affiliations

Soon will be listed here.

Abstract

The aim of this study is to compare the outcomes and the complications between the 2 most adopted procedures for gastrostomy placement: percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) in children. We present our study on 69 patients (male: 46/female: 23): group 1 (37 patients, 54%) undergoing PEG, group 2 (32 patients, 46%) undergoing LG. A total of 5 major complications were observed all in the PEG group (13.5%), no major complication was observed in the LG group (P-value<0.05). A total of 12 minor complications were observed: 4 occurred in the PEG group (10.8%) and 8 (25%) in the laparoscopic gastrostmoy group, not statistically relevant. We suggest that the LG should be considered the preferred technique for gastrostomy placement in pediatric patients, particularly in newborns, children with significant skeletal malformations, and patients who underwent previous abdominal surgery.

Citing Articles

Is endoscopy beneficial in pediatric laparoscopic gastrostomy insertion; A 9-year comparative study.

Bitar R, Syed A, Azaz A, Rawat D, Hobeldin M, Miqdady M Front Pediatr. 2022; 10:950867.

PMID: 36034566 PMC: 9402975. DOI: 10.3389/fped.2022.950867.

Persistent Diarrhoea after Percutaneous Endoscopic Gastrostomy (PEG) in Paediatric Patient: Lessons from a Complication.

Silvaroli S, Paradiso F, Giorgio V, Nanni L Case Rep Pediatr. 2022; 2022:7663038.

PMID: 35719248 PMC: 9205711. DOI: 10.1155/2022/7663038.

To Button or Not to Button? Primary Gastrostomy Tubes Offer No Significant Advantage Over Buttons.

Osei H, Munoz-Abraham A, Martino A, Chatoorgoon K, Greenspon J, Fitzpatrick C Pediatr Gastroenterol Hepatol Nutr. 2022; 25(3):211-217.

PMID: 35611372 PMC: 9110846. DOI: 10.5223/pghn.2022.25.3.211.

Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis.

Jelicic Kadic A, Radosevic T, Zitko V, Despot R, Pogorelic Z, Munoz C Medicina (Kaunas). 2021; 57(11).

PMID: 34833454 PMC: 8622246. DOI: 10.3390/medicina57111236.

Concomitant gastrostomy tube insertion during laparoscopic Nissen fundoplication for gastro-esophageal reflux disease: analysis of risk factors for fundoplication failure.

Montalva L, Mariani A, Schmitt F, Muller C, Alzahrani K, Viala J Surg Endosc. 2020; 35(8):4251-4258.

PMID: 32833100 DOI: 10.1007/s00464-020-07913-w.

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