Prospective determination of percutaneous endoscopic gastrostomy complication rates in children: Still a safe procedure

Brewster, Benjamin D.; Weil, Brent R.; Ladd, Alan P.

doi:10.1016/j.surg.2012.07.018

Cited by 38 publications

(35 citation statements)

References 12 publications

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“…[16] This is similar to recently published prospective studies on gastrostomy placements. [63031] The learning curve or level of training of the physician may be of influence on the surgical outcome, however, none of the studies reported details on surgical and/or endoscopic training.…”

Section: Discussionmentioning

confidence: 99%

“…It can cause bleeding and leakage from the gastrostomy site and thus have a major influence on QoL. [6] However, no studies could be identified comparing the incidence of post-operative hypergranulation between PEG and LAG.…”

Section: Discussionmentioning

confidence: 99%

“…After the first report, PEG became popular and many authors published on the safety and effectiveness of the procedure. [678910] Nowadays, many institutions have used PEG as standard treatment in children.…”

Section: Introductionmentioning

confidence: 99%

“…[14] Possible adverse events associated with a gastrostomy are gastroesophageal reflux (GER)[15] and complications requiring reinterventions, such as damage to adjacent organs, hypergranulation at the insertion and gastric content leakage at the gastrostomy site. [6]…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis

et al. 2017

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BACKGROUND:Percutaneous endoscopic gastrostomy (PEG) and laparoscopic-assisted gastrostomy (LAG) are widely used in the paediatric population. The aim of this study was to determine which one of the two procedures is the most effective and safe method.METHODS:This systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses statement. Primary outcomes were success rate, efficacy of feeding, quality of life, gastroesophageal reflux and post-operative complications.RESULTS:Five retrospective studies, comparing 550 PEG to 483 LAG placements in children, were identified after screening 2347 articles. The completion rate was similar for both procedures. PEG was associated with significantly more adjacent bowel injuries (P = 0.047), early tube dislodgements (P = 0.02) and complications that require reintervention under general anaesthesia (P < 0.001). Minor complications were equally frequent after both procedures.CONCLUSIONS:Because of the lack of well-designed studies, we have to be cautious in making definitive conclusions comparing PEG to LAG. To decide which type of gastrostomy placement is best practice in paediatric patients, randomised controlled trials comparing PEG to LAG are highly warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis

et al. 2017

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“…Bu komplikasyonların başlıcaları; gastro-kolik fistül, peritonit, hemoraji, enfeksiyon, yerinden çıkmadır 9,11 . Turkiyede yapılan 25 olguluk bir çalışmada ise 1 hastada (%4) komplikasyon geliştiği izlenmiştir 12 .…”

Section: Discussionunclassified

Percutaneous Endoscopic Gastrostomy; Experience of two clinics

Akay¹,

Yayla²,

Elemen³

et al. 2014

Sakarya Med J

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Amaç: Perkütan endoskopik gastrostomi ( PEG ) gastrostomi yöntemleri içinde en sık ve en basit uygulanan minimal invaziv yötemdir. Çalışmamızda PEG uygulanan hastaların sonuçları ve reflü hastalığı ile ilişkisi değerlendirildi. Materyal Metod: Ocak 2010 -Ocak 2012 tarihleri arasında iki çocuk cerrahisi merkezinde perkutan endoskopik gastrostomi kateteri takılan 13 hastanın dosyası geriye dönük incelendi. Bulgular: Hastaların 6'sı erkek ( % 46 ), 7'si kız ( % 54 ) idi. Yaş ortalaması 3,5 yıl idi. Hastaların ortalama hastane yatış süresi 3 ± 1 gündü. Hastaların beslemeye başlama süreleri ortalama 31 ± 8 saat, operasyon süreleri ise ortalama 45 ± 15 dakika idi. Kız ve erkek hastalarda beslemeye başlama süreleri açısından fark yoktu. PEG takılma endikasyonları 1 hastada özefagus atrezisi onarımı sonrası yutma disfonksiyonu gelişmesi ve 12 hastada da santral sinir sistemini patolojilerine bağlı yutma disfonksiyonuydu. Olgularımızda başlangıçta GÖR araştırması yapıldı. Hipoksik iskemik ensefalopati tanılı, PEG sonrasında sık aspirasyon pnömonisi geçiren 2 hastaya ve özefagus atrezisi onarımı yapılmış 1 hastaya daha sonra antireflü ameliyatı yapıldı. Diğer 10 hasta operasyon sonrası komplikasyonsuz olarak PEG ile beslenmeye devam etmektedir. Sonuç: PEG işlemi kolay uygulanabilir bir yöntemdir. Herhangi bir nedenle gastrostomi takılması gereken olgularda gastrostomi öncesi invaziv araştırma ve cerrahi yapmadan minimal invaziv yöntem olan PEG yöntemi ile gastrostomi açılıp daha sonra gerekirse detaylı inceleme ve invaziv cerrahi yapılabilir.

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Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study

et al. 2014

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Prospective determination of percutaneous endoscopic gastrostomy complication rates in children: Still a safe procedure

Cited by 38 publications

References 12 publications

Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis

Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis

Percutaneous Endoscopic Gastrostomy; Experience of two clinics

Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study

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