Advanced

Literature review comparing laparoscopic and percutaneous endoscopic gastrostomies in a pediatric population.

Lantz, Madelen; Larsson, Helena LU and Arnbjörnsson, Einar LU (2010) In International Journal of Pediatrics 2010(Mar 10).
Abstract
Objective. This study compares laparoscopic and percutaneous endoscopic gastrostomy (PEG) in a paediatric population to test the hypothesis that there is a difference in the frequency of serious gastrointestinal complications between the two methods. Methods. All reports published between 1995 and 2009 on laparoscopic gastrostomy and PEG in children was included. Prospective and retrospective trials, comparing the two methods or dealing with one of them only were included. Endpoints were accidentally performed gastrointestinal fistula causing an emergency re-operation. The frequency of inadvertent gastroenteric fistulas using the two different techniques was calculated. Results. 822 publications were found when using the search terms:... (More)
Objective. This study compares laparoscopic and percutaneous endoscopic gastrostomy (PEG) in a paediatric population to test the hypothesis that there is a difference in the frequency of serious gastrointestinal complications between the two methods. Methods. All reports published between 1995 and 2009 on laparoscopic gastrostomy and PEG in children was included. Prospective and retrospective trials, comparing the two methods or dealing with one of them only were included. Endpoints were accidentally performed gastrointestinal fistula causing an emergency re-operation. The frequency of inadvertent gastroenteric fistulas using the two different techniques was calculated. Results. 822 publications were found when using the search terms: gastrostomy, gastrointestinal complications, and all child: 0-18 years. From these, 54 studies were extracted for this investigation. These studies reported a total of 4331 children undergoing gastrostomy operation, 1027 by using the laparoscopic technique and 3304 using the PEG technique. The number of serious gastrointestinal fistulas to colon or small bowel was 0% and .27%, respectively, P < .05. Conclusions. The results suggest that by performing laparoscopic gastrostomy in children it is possible to avoid the serious intestinal fistula complications caused by a blind puncture through the abdominal cavity when performing the PEG. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Pediatrics
volume
2010
issue
Mar 10
external identifiers
  • pmid:20300186
ISSN
1687-9759
DOI
10.1155/2010/507616
language
English
LU publication?
yes
id
f83d2dbe-6e33-4961-92c8-68e9cb691de2 (old id 1581812)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20300186?dopt=Abstract
date added to LUP
2010-04-08 09:04:10
date last changed
2018-05-29 10:54:01
@article{f83d2dbe-6e33-4961-92c8-68e9cb691de2,
  abstract     = {Objective. This study compares laparoscopic and percutaneous endoscopic gastrostomy (PEG) in a paediatric population to test the hypothesis that there is a difference in the frequency of serious gastrointestinal complications between the two methods. Methods. All reports published between 1995 and 2009 on laparoscopic gastrostomy and PEG in children was included. Prospective and retrospective trials, comparing the two methods or dealing with one of them only were included. Endpoints were accidentally performed gastrointestinal fistula causing an emergency re-operation. The frequency of inadvertent gastroenteric fistulas using the two different techniques was calculated. Results. 822 publications were found when using the search terms: gastrostomy, gastrointestinal complications, and all child: 0-18 years. From these, 54 studies were extracted for this investigation. These studies reported a total of 4331 children undergoing gastrostomy operation, 1027 by using the laparoscopic technique and 3304 using the PEG technique. The number of serious gastrointestinal fistulas to colon or small bowel was 0% and .27%, respectively, P &lt; .05. Conclusions. The results suggest that by performing laparoscopic gastrostomy in children it is possible to avoid the serious intestinal fistula complications caused by a blind puncture through the abdominal cavity when performing the PEG.},
  articleno    = {507616},
  author       = {Lantz, Madelen and Larsson, Helena and Arnbjörnsson, Einar},
  issn         = {1687-9759},
  language     = {eng},
  number       = {Mar 10},
  series       = {International Journal of Pediatrics},
  title        = {Literature review comparing laparoscopic and percutaneous endoscopic gastrostomies in a pediatric population.},
  url          = {http://dx.doi.org/10.1155/2010/507616},
  volume       = {2010},
  year         = {2010},
}