Trends in the use of gastrostomies at a tertiary paediatric referral centre
| Autor: | Kristin Bjørnland, Charlotte Kristensen Knatten, Lars Aabakken, Morten Kvello, Ragnhild Emblem, Are Hugo Pripp, Tone Lise Åvitsland |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors Percutaneous Adolescent medicine.medical_treatment Population Malignancy Endoscopy Gastrointestinal Tertiary Care Centers 03 medical and health sciences Enteral Nutrition 0302 clinical medicine 030225 pediatrics medicine Humans Child education Laparoscopy Retrospective Studies Gastrostomy education.field_of_study medicine.diagnostic_test business.industry Medical record Respiratory disease Gastroenterology Infant Retrospective cohort study medicine.disease Child Preschool Female 030211 gastroenterology & hepatology business |
| Zdroj: | Scandinavian Journal of Gastroenterology. 51:625-632 |
| ISSN: | 1502-7708 0036-5521 |
| DOI: | 10.3109/00365521.2015.1123288 |
| Popis: | The aims of this study were to describe the population of paediatric patients undergoing gastrostomy placement at a Norwegian tertiary referral centre and to investigate trends over time in patient characteristics and operative technique.Patients15 years of age getting a primary gastrostomy from 1994 to 2012 were included in this retrospective observational study. Patient data were collected from medical records and the National Registry.Six-hundred forty-nine patients with a median age of 1.2 years [gestational week 30-14.9 years] were included. Neurological disorders (ND) was the most common underlying group of diagnosis (n = 311, 48%), followed by cardiac disease 104 (16%), congenital anomalies 85 (13%), respiratory disease 43 (7%), malignancy 29 (5%), and others 77 (12%). At follow-up, 162 (25%) patients were dead. A percutaneous endoscopic technique (PEG) was used in 401 (62%) patients, open surgery (OPEN) in 201 (31%) and laparoscopy (LAP) in 47 (7%). The number of gastrostomies per year more than doubled during the period (p 0.001). More patients with cardiac disease and congenital anomalies were given a gastrostomy during the last years (all p 0.05), whereas the number of patients with ND remained stable. Furthermore, there has been a decrease in median age and an increase in the number of PEG and LAP (p 0.05).The number of gastrostomy insertions has increased from 1994 to 2012. NDs is the most common underlying diagnosis in patients receiving a gastrostomy, PEG is the most common technique and patient characteristics have changed during the study period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|