| Autor: |
Singh, R. R., Nah, S. A., Roebuck, D. J., Eaton, S., Pierro, A., Curry, J. I., Barnacle, A., Chippington, S., Stuart, S., Gibson, C., Cross, K. M. K., Stanwell, J., Yardley, I. E., Kiely, E. M., De Coppi, P. |
| Předmět: |
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| Zdroj: |
British Journal of Surgery; Nov2017, Vol. 104 Issue 12, p1620-1627, 8p |
| Abstrakt: |
Background The aim of this RCT was to determine whether radiologically inserted gastrostomy (RIG) in children is associated with more complications than percutaneous endoscopic gastrostomy (PEG). Methods Children at a single tertiary children's hospital requiring a primary gastrostomy were randomized to PEG or RIG. Patients were followed by assessors blinded to the insertion method. Complications were recorded, assigned a severity score, and analysed by zero-inflated Poisson regression analysis on an intention-to-treat basis, adjusting for length of follow-up. Results Over a 3-year period, 214 children were randomized (PEG, 107; RIG, 107), of whom 100 received PEG and 96 RIG. There was no significant difference in the number of complications between PEG and RIG groups ( P = 0·875), or in the complication score: patients undergoing RIG had a 1·04 (95 per cent c.i. 0·89 to 1·21) times higher complication score than those who underwent PEG ( P = 0·597). Only age had an independent significant effect on complication score, with older patients having a 0·97 (0·95 to 1·00) times lower complication score per year. Conclusion PEG and RIG are both safe methods of gastrostomy insertion with a low rate of major complications. Registration number: NCT01920438 ( ). [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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