Closure after gastrostomy button

Arnbjörnsson, Einar; Backman, Torbjörn; Berglund, Yvonne; Kullendorff, Carl‐Magnus

doi:10.1007/s00383-005-1549-8

Cited by 8 publications

(7 citation statements)

References 4 publications

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“…This finding is in accordance with previous reports [12]. In addition, the patients needing gastroraphy were older because they had used the gastrostomy button longer, and being older might have negatively affected spontaneous closure.…”

Section: Discussionsupporting

confidence: 93%

“…A previous study [12] aimed to test the hypothesis of whether it is possible for the surgeon to decide which stoma has to be closed with a gastroraphy and which to leave for a spontaneous closure, resulted in rejection of the hypothesis of predictability of the gastrostoma closure. The institutional routine at that time was to wait at least 3 months after the removal of the gastrostomy device before suggesting to the child’s guardians an operative closure of the stoma.…”

Section: Discussionmentioning

confidence: 99%

“…The study [12] disclosed that out of a cohort of 321 patients, who had been operated with a video-assisted gastrostomy, 48 children had their gastrostomy button removed. These children were carefully followed and the closure of the gastrostoma was registered.…”

Section: Discussionmentioning

confidence: 99%

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Long-term outcomes of children undergoing video-assisted gastrostomy

et al. 2016

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PurposeThe 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.MethodsThis 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.ResultsA 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.ConclusionComplications after VAG decrease over time. A longer duration of gastrostomy device retention leads to increased need for gastroraphy.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Long-term outcomes of children undergoing video-assisted gastrostomy

et al. 2016

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“…Gastric acid suppression may facilitate closure of the fistula. If the gastrocutaneous fistula persists over 1 month, standard procedure is surgical gastroraphy, although endoscopic intervention such as cautery with clipping has been reported 78–80 …”

Section: Late Complicationsmentioning

confidence: 99%

Review article: percutaneous endoscopic gastrostomy in infants and children

Fröhlich

Richter

Carbon³

et al. 2010

Aliment Pharmacol Ther

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“…A gastrocutaneous fistula that persists requires surgical repair. 3,4 The traditional operative technique widely used for treatment involves a layered closure. The fistula tract is excised, and the gastric wall is separated from the fascia and the gastric defect is primarily repaired.…”

Section: Introductionmentioning

confidence: 99%