A simplified laparoscopic-assisted gastrostomy technique: a single center experience
| Autor: | Tamer A. Wafa, Abdelrahman Elshafey, Hesham M. Sheir, Mohamed Elzohiri |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Surgery Single Center Group B Abdominal wall 03 medical and health sciences 0302 clinical medicine Percutaneous endoscopic gastrostomy Laparoscopic-assisted Medicine Gastrocutaneous fistula Gastrostomy business.industry Stomach Incidence (epidemiology) lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 PEG Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology business |
| Zdroj: | Annals of Pediatric Surgery, Vol 16, Iss 1, Pp 1-5 (2020) |
| ISSN: | 2090-5394 |
| Popis: | Background Although percutaneous endoscopic gastrostomy (PEG) is considered simple and effective, major complications have been reported because of the partly blind placement technique. Laparoscopic gastrostomy was described to overcome most of the problems and the contraindications of PEG. Various modifications have been reported to anchor the stomach to the abdominal wall. This study aims at highlighting a single center experience using a simplified technique for gastrostomy and evaluates its outcome. Results The age of the patients ranged from 7 days to 3 years (mean 11.75 ± 12 months in group A and 16 ± 3 months in group B). The mean body weight at time of gastrostomy was 6.5 ± 4.6 kg in group A and 7.5 ± 2 in group B. The mean operative time was 24.8 ± 4 min in group A and 25 ± 1.6 in group B, ranging from 18 to 31 min. The incidence of gastrostomy-related complications was 20% (three cases) in group A versus 12.5% (one case) among patients included in group B. Yet, this difference was statistically insignificant (p = 0.651). No major complications were reported apart from persistent gastrocutaneous fistula in one out of eight cases followed after removal of the gastrostomy (12.5%). There is no significant difference in the outcome either in neonates or in patients less than 5 kg. Conclusions The described simple technique of laparoscopic-assisted gastrostomy is easy, effective, and with a very low incidence of complications. It is also equally safe in neonates and children less than 5 kg. |
| Databáze: | OpenAIRE |
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