Experiencia en niños de la gastrostomía laparoscópica por miniestoma

Salamanca, Édgar; Sebá, Juan Enrique; Suárez, Andrea

doi:10.30944/20117582.22

Cited by 1 publication

(3 citation statements)

References 13 publications

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“…In this study, the majority of patients were male (66%), had a Median age of 6 months, presented with ventricular septal defects (17%), were diagnosed with sucking/swallowing disorder (93%), and had a pre-existing neurological involvement (85%), similar to the findings of our study. However, the rate of postoperative complications was higher than ours (40%), and the most frequent complication was GT leakage (19.14%), which is inconsistent with our findings ( 13 ). These differences could be due to the different laparoscopic techniques or other unexplored variables.…”

Section: Discussioncontrasting

confidence: 99%

“…There is a single descriptive study with a population demographically comparable to ours published by Salamanca et al (2017), in which a series of 47 Colombian children with CHD were operated using the mini-stoma laparoscopic technique. In this study, the majority of patients were male (66%), had a Median age of 6 months, presented with ventricular septal defects (17%), were diagnosed with sucking/swallowing disorder (93%), and had a pre-existing neurological involvement (85%), similar to the findings of our study.…”

Section: Discussionmentioning

confidence: 99%

“…In the international literature, the rate of complications in patients undergoing LGT varies widely, ranging from 13.8% to 69% (12)(13)(14)(15)(16)(17)(18). It is important to emphasize that in some of the available studies, the follow-up period extended up to one-year post-GT, while in others, it was not even specified, which may explain the variability in the reported rates.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluating the use of laparoscopic gastrostomy in children with congenital heart disease in Colombia: a retrospective analysis

Chaparro-Zaraza,

Pinilla-Orejarena,

Otoya-Castrillón

et al. 2024

Front. Pediatr.

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IntroductionCongenital Heart Disease (CHD) is the most common congenital disorder and a leading cause of infant mortality. Despite improved survival rates, patients with CHD often face malnutrition due to increased metabolic demands, feeding difficulties, and gastrointestinal dysfunction. Malnutrition in CHD is linked to poor short and long-term clinical outcomes. Gastrostomy (GT) is frequently used for long-term enteral support, and laparoscopic GT (LGT) has demonstrated advantages in children without CHD. This study evaluated a modified Georgeson's percutaneous LGT technique and its perioperative complications in children with CHD.MethodsWe performed an analytical retrospective cohort study from 2018 to 2022, including patients younger than 24 months with a diagnosis of CHD who underwent LGT. The primary outcome evaluated was the presence of complications during surgery and the first thirty postoperative days. Complications were graded using Clavien–Dindo's (CD) classification. Sociodemographic, clinical, and procedure-related variables were collected. A bivariate analysis was performed using STATA 15, and a p < 0.05 was considered statistically significant.ResultsSeventy-eight patients were eligible (male 56.41%, Median age 129.5 days, weight: 4.83 kg). The median surgery time was 35 min. The complication rate was 24.36%. The most frequent complications were GT site infection (10.26%), followed by leakage (8.97%) and granuloma formation (6.41%). Conversion to open surgery was significantly associated with postoperative complications (p = 0.002).ConclusionThis modified technique is well-tolerated in children with CHD, demonstrating a low rate of CD grade 3A/3B complications and no grade 4 or 5 complications.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%