Correlation between the preoperative state of nutrition and the frequency of postoperative problems after video-assisted gastrostomy in children.
(2009) In Gastroenterology Insights volume 1:e2(2).- Abstract
- Abstract
Gastrostomy operations are performed on
children referred to the pediatric surgical clinic
without being influenced by the patient’s
state of nutrition. This has been motivated by
the idea that a gastrostomy would enable a fast
and secure improvement in this regard. The
question arises whether an improvement in
the preoperative nutritional status would
reduce the number of postoperative complications.
The aim of the study was to test the
hypothesis that the frequency of postoperative
complications after a video-assisted gastrostomy
is correlated to the child’s preoperative
state of nutrition. Fifty... (More) - Abstract
Gastrostomy operations are performed on
children referred to the pediatric surgical clinic
without being influenced by the patient’s
state of nutrition. This has been motivated by
the idea that a gastrostomy would enable a fast
and secure improvement in this regard. The
question arises whether an improvement in
the preoperative nutritional status would
reduce the number of postoperative complications.
The aim of the study was to test the
hypothesis that the frequency of postoperative
complications after a video-assisted gastrostomy
is correlated to the child’s preoperative
state of nutrition. Fifty consecutive children
with severe nutritional problems underwent a
video-assisted gastrostomy operation where
gastrostomy buttons were placed as the initial
surgical feeding tube. At the time of the operation,
the children’s nutritional parameters
were registered routinely. After the operation,
the children were followed up prospectively for
six months and all complications were documented
according to a protocol. The children
were ranked according to the severity and frequency
of postoperative complications and
problems. Correlation to nutritional parameters
was calculated. The children did not present
with any serious postoperative intraabdominal
complications. There was a significant
correlation between the frequency of
minor complications and the child’s state of
nutrition, measured as the number of standard
deviations from normal length and weight as
well as phosphate, magnesium, and iron levels
in the blood. This study revealed a significant
correlation between the patients’ state of
nutrition and the postoperative complications
during the first postoperative six months.
Thus, the findings support a routine of nutritional
evaluation prior to performing a gastrostomy
operation. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1653520
- author
- Arnbjörnsson, Einar LU ; Backman, Torbjörn LU ; Sjövie, Helen and Kullendorff, Carl-Magnus LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- complications, Gastrostomy, children, nutrition, Laparoscopy
- in
- Gastroenterology Insights
- volume
- volume 1:e2
- issue
- 2
- publisher
- MDPI AG
- external identifiers
-
- other:doi:10.4081/gi.2009.e2
- scopus:79952592850
- DOI
- 10.4081/gi.2009.e2
- language
- English
- LU publication?
- yes
- id
- 36b22c60-f84c-4b5b-9bac-f46c07112e54 (old id 1653520)
- alternative location
- http://www.pagepress.org/journals/index.php/gi/article/view/gi.2009.e2
- date added to LUP
- 2016-04-04 10:04:36
- date last changed
- 2023-06-26 05:33:29
@article{36b22c60-f84c-4b5b-9bac-f46c07112e54,
abstract = {{Abstract<br/><br>
Gastrostomy operations are performed on<br/><br>
children referred to the pediatric surgical clinic<br/><br>
without being influenced by the patient’s<br/><br>
state of nutrition. This has been motivated by<br/><br>
the idea that a gastrostomy would enable a fast<br/><br>
and secure improvement in this regard. The<br/><br>
question arises whether an improvement in<br/><br>
the preoperative nutritional status would<br/><br>
reduce the number of postoperative complications.<br/><br>
The aim of the study was to test the<br/><br>
hypothesis that the frequency of postoperative<br/><br>
complications after a video-assisted gastrostomy<br/><br>
is correlated to the child’s preoperative<br/><br>
state of nutrition. Fifty consecutive children<br/><br>
with severe nutritional problems underwent a<br/><br>
video-assisted gastrostomy operation where<br/><br>
gastrostomy buttons were placed as the initial<br/><br>
surgical feeding tube. At the time of the operation,<br/><br>
the children’s nutritional parameters<br/><br>
were registered routinely. After the operation,<br/><br>
the children were followed up prospectively for<br/><br>
six months and all complications were documented<br/><br>
according to a protocol. The children<br/><br>
were ranked according to the severity and frequency<br/><br>
of postoperative complications and<br/><br>
problems. Correlation to nutritional parameters<br/><br>
was calculated. The children did not present<br/><br>
with any serious postoperative intraabdominal<br/><br>
complications. There was a significant<br/><br>
correlation between the frequency of<br/><br>
minor complications and the child’s state of<br/><br>
nutrition, measured as the number of standard<br/><br>
deviations from normal length and weight as<br/><br>
well as phosphate, magnesium, and iron levels<br/><br>
in the blood. This study revealed a significant<br/><br>
correlation between the patients’ state of<br/><br>
nutrition and the postoperative complications<br/><br>
during the first postoperative six months.<br/><br>
Thus, the findings support a routine of nutritional<br/><br>
evaluation prior to performing a gastrostomy<br/><br>
operation.}},
author = {{Arnbjörnsson, Einar and Backman, Torbjörn and Sjövie, Helen and Kullendorff, Carl-Magnus}},
keywords = {{complications; Gastrostomy; children; nutrition; Laparoscopy}},
language = {{eng}},
number = {{2}},
publisher = {{MDPI AG}},
series = {{Gastroenterology Insights}},
title = {{Correlation between the preoperative state of nutrition and the frequency of postoperative problems after video-assisted gastrostomy in children.}},
url = {{https://lup.lub.lu.se/search/files/5454802/1653525.pdf}},
doi = {{10.4081/gi.2009.e2}},
volume = {{volume 1:e2}},
year = {{2009}},
}