Advanced

Postoperative gastrostomy site leakage correlated to the dimension of the gastrostomy button in children

Sjövie, Helen; Larsson, Lars Torsten LU and Arnbjörnsson, Einar LU (2010) In Gastroenterology Insights Vol 2(No 2). p.34-36
Abstract
Abstract

The laparoscopic placement of gastrostomy

buttons for feeding tubes is the preferred

method of gastrostomy in children with feeding

requirements. This intervention often

leads to some minor postoperative problems,

including gastrostomy site leakage. The aim of

our study was to test the hypothesis that the

postoperative leakage after a video-assisted

gastrostomy is correlated to the dimension of

the gastrostomy button used during the oper -

ation. Included in the study were 164 children

with nutritional problems who consecutively

underwent surgery; they had a video-assisted

gastrostomy operation. In the... (More)
Abstract

The laparoscopic placement of gastrostomy

buttons for feeding tubes is the preferred

method of gastrostomy in children with feeding

requirements. This intervention often

leads to some minor postoperative problems,

including gastrostomy site leakage. The aim of

our study was to test the hypothesis that the

postoperative leakage after a video-assisted

gastrostomy is correlated to the dimension of

the gastrostomy button used during the oper -

ation. Included in the study were 164 children

with nutritional problems who consecutively

underwent surgery; they had a video-assisted

gastrostomy operation. In the first 87 children,

a 14 French (Fr) gastrostomy button was used

and in the last 77, a 12 Fr button was used.

After the operation, the children were followed

up prospectively and all complications were

documented according to the study protocol.

Our study revealed a significant correlation

between the dimension of the gastrostomy button

and the postoperative leakage at the gastrostomy

site. The rate of leakage at the gastrostomy

site was 37% in the children who had

14 Fr gastrostomy buttons compared to 18%

(P=0.038) in the children who had 12 Fr gastrostomy

buttons, during the first six months

postoperatively. These results suggest that

postoperative gastrostomy site leakage was

significantly higher in children who had 14 Fr

gastrostomy buttons than in those with 12 Fr

buttons. To avoid this complication, 12 Fr

gastro stomy buttons should be used. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Button, Gastrostomy, Children, Dimension
in
Gastroenterology Insights
volume
Vol 2
issue
No 2
pages
34 - 36
publisher
Page Press
external identifiers
  • Other:doi:10.4081/gi.2010.e9
  • Scopus:79952600235
DOI
10.4081/gi.2010.e9
language
English
LU publication?
yes
id
6cdd10ba-e795-487c-a02e-2be48e81fdfa (old id 1653539)
alternative location
http://www.pagepress.org/journals/index.php/gi/article/view/gi.2010.e9
date added to LUP
2013-05-14 15:13:43
date last changed
2016-10-13 04:51:25
@misc{6cdd10ba-e795-487c-a02e-2be48e81fdfa,
  abstract     = {Abstract<br/><br>
The laparoscopic placement of gastrostomy<br/><br>
buttons for feeding tubes is the preferred<br/><br>
method of gastrostomy in children with feeding<br/><br>
requirements. This intervention often<br/><br>
leads to some minor postoperative problems,<br/><br>
including gastrostomy site leakage. The aim of<br/><br>
our study was to test the hypothesis that the<br/><br>
postoperative leakage after a video-assisted<br/><br>
gastrostomy is correlated to the dimension of<br/><br>
the gastrostomy button used during the oper -<br/><br>
ation. Included in the study were 164 children<br/><br>
with nutritional problems who consecutively<br/><br>
underwent surgery; they had a video-assisted<br/><br>
gastrostomy operation. In the first 87 children,<br/><br>
a 14 French (Fr) gastrostomy button was used<br/><br>
and in the last 77, a 12 Fr button was used.<br/><br>
After the operation, the children were followed<br/><br>
up prospectively and all complications were<br/><br>
documented according to the study protocol.<br/><br>
Our study revealed a significant correlation<br/><br>
between the dimension of the gastrostomy button<br/><br>
and the postoperative leakage at the gastrostomy<br/><br>
site. The rate of leakage at the gastrostomy<br/><br>
site was 37% in the children who had<br/><br>
14 Fr gastrostomy buttons compared to 18%<br/><br>
(P=0.038) in the children who had 12 Fr gastrostomy<br/><br>
buttons, during the first six months<br/><br>
postoperatively. These results suggest that<br/><br>
postoperative gastrostomy site leakage was<br/><br>
significantly higher in children who had 14 Fr<br/><br>
gastrostomy buttons than in those with 12 Fr<br/><br>
buttons. To avoid this complication, 12 Fr<br/><br>
gastro stomy buttons should be used.},
  author       = {Sjövie, Helen and Larsson, Lars Torsten and Arnbjörnsson, Einar},
  keyword      = {Button,Gastrostomy,Children,Dimension},
  language     = {eng},
  number       = {No 2},
  pages        = {34--36},
  publisher    = {ARRAY(0x8d07450)},
  series       = {Gastroenterology Insights},
  title        = {Postoperative gastrostomy site leakage correlated to the dimension of the gastrostomy button in children},
  url          = {http://dx.doi.org/10.4081/gi.2010.e9},
  volume       = {Vol 2},
  year         = {2010},
}