Analysis of factors affecting the spontaneous closure of a gastrocutaneous fistula
| Autor: | Joseph S. Janik, Richard J. Hendrickson, Tracey A. Janik, Angi E. Landholm |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Gastric Fistula
Male medicine.medical_specialty medicine.medical_treatment Fistula Cutaneous Fistula Persistence (computer science) Enteral Nutrition Risk Factors medicine Humans Gastrocutaneous fistula Laparoscopy Child Device Removal Retrospective Studies Gastrostomy Wound Healing medicine.diagnostic_test business.industry Incidence (epidemiology) Spontaneous closure Infant Retrospective cohort study General Medicine medicine.disease Surgery Child Preschool Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of pediatric surgery. 39(8) |
| ISSN: | 1531-5037 |
| Popis: | Few reports have documented the rate of persistence of a gastrocutaneous fistula (GCF) after gastrostomy removal or the reason for the persistence of a GCF. The purpose of this report was to analyze a large group of pediatric patients with a persistent GCF to determine the rate of persistence and any factors that correlate with the persistence of a GCF.This was a retrospective review of 1,042 children from The Children's Hospital, Denver, Colorado who had a gastrostomy constructed between 1992 and 2002. The charts of all children with a persistent GCF after gastrostomy catheter removal were analyzed for correlation between 13 clinical parameters and the persistence of a GCF.There were 150 children with a persistent GCF for an incidence of 34%. Time elapsed between the creation of the GCF and removal of the gastrostomy appliance (or =8 months versus8 months) was the only parameter that showed any correlation with persistence of a GCF (P.05). None of the other parameters studied showed any conclusive correlation with persistence of a GCF.Time was the only factor that determined whether a surgically created GCF would persist after removal of a gastrostomy appliance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect