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Correlation between the preoperative state of nutrition and the frequency of postoperative problems after video-assisted gastrostomy in children.

Arnbjörnsson, Einar LU ; Backman, Torbjörn LU ; Sjövie, Helen and Kullendorff, Carl-Magnus LU (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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
complications, Gastrostomy, children, nutrition, Laparoscopy
in
Gastroenterology Insights
volume
volume 1:e2
issue
2
publisher
Page Press
external identifiers
  • other:doi:10.4081/gi.2009.e2
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
2013-05-14 15:13:02
date last changed
2016-04-16 07:25:36
@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},
  keyword      = {complications,Gastrostomy,children,nutrition,Laparoscopy},
  language     = {eng},
  number       = {2},
  publisher    = {Page Press},
  series       = {Gastroenterology Insights},
  title        = {Correlation between the preoperative state of nutrition and the frequency of postoperative problems after video-assisted gastrostomy in children.},
  url          = {http://dx.doi.org/10.4081/gi.2009.e2},
  volume       = {volume 1:e2},
  year         = {2009},
}