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Long-term outcomes of children undergoing video-assisted gastrostomy

Salö, Martin LU ; Santimano, Ana; Helmroth, Sofia; Stenström, Pernilla LU and Arnbjörnsson, Einar LU (2017) In Pediatric Surgery International 33(1). p.85-90
Abstract

Purpose: The aims of this study were to assess the short- and long-term complication rates after video-assisted gastrostomy (VAG), the effects of age and gender on long-term complications and the effect of duration of gastrostomy tube retention on the need for gastroraphy when the gastrostomy device was removed. Methods: This was a retrospective study of children undergoing VAG at a single institution. Children who died or moved from the area were excluded. The rates of short- and long-term complications developing at 3–6 months or 2 or more years, respectively, were compared. Results: A total of 170 children were studied, out of a cohort of 303 children. The median age at surgery was 2 years. The median duration of postoperative... (More)

Purpose: The aims of this study were to assess the short- and long-term complication rates after video-assisted gastrostomy (VAG), the effects of age and gender on long-term complications and the effect of duration of gastrostomy tube retention on the need for gastroraphy when the gastrostomy device was removed. Methods: This was a retrospective study of children undergoing VAG at a single institution. Children who died or moved from the area were excluded. The rates of short- and long-term complications developing at 3–6 months or 2 or more years, respectively, were compared. Results: A total of 170 children were studied, out of a cohort of 303 children. The median age at surgery was 2 years. The median duration of postoperative long-term follow-up was 5 years (2–9 years). The complications at the respective short and long-term follow-ups were as follows: granulation tissue, leakage, infection and vomiting. There were no differences in the short- versus long-term complication rates for gender and age. Children needing gastroraphy had used a gastrostomy device significantly longer compared with children with spontaneous closure. Conclusion: Complications after VAG decrease over time. A longer duration of gastrostomy device retention leads to increased need for gastroraphy.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Children, Gastroraphy, Gastrostomy, Laparoscopy, Long term, Outcome
in
Pediatric Surgery International
volume
33
issue
1
pages
85 - 90
publisher
Springer
external identifiers
  • scopus:84994229403
  • wos:000392292900012
ISSN
0179-0358
DOI
10.1007/s00383-016-4001-3
language
English
LU publication?
yes
id
55707444-0055-4831-8cb7-3b3cf0478be6
date added to LUP
2016-12-01 14:06:06
date last changed
2018-01-07 11:37:52
@article{55707444-0055-4831-8cb7-3b3cf0478be6,
  abstract     = {<p>Purpose: The aims of this study were to assess the short- and long-term complication rates after video-assisted gastrostomy (VAG), the effects of age and gender on long-term complications and the effect of duration of gastrostomy tube retention on the need for gastroraphy when the gastrostomy device was removed. Methods: This was a retrospective study of children undergoing VAG at a single institution. Children who died or moved from the area were excluded. The rates of short- and long-term complications developing at 3–6 months or 2 or more years, respectively, were compared. Results: A total of 170 children were studied, out of a cohort of 303 children. The median age at surgery was 2 years. The median duration of postoperative long-term follow-up was 5 years (2–9 years). The complications at the respective short and long-term follow-ups were as follows: granulation tissue, leakage, infection and vomiting. There were no differences in the short- versus long-term complication rates for gender and age. Children needing gastroraphy had used a gastrostomy device significantly longer compared with children with spontaneous closure. Conclusion: Complications after VAG decrease over time. A longer duration of gastrostomy device retention leads to increased need for gastroraphy.</p>},
  author       = {Salö, Martin and Santimano, Ana and Helmroth, Sofia and Stenström, Pernilla and Arnbjörnsson, Einar},
  issn         = {0179-0358},
  keyword      = {Children,Gastroraphy,Gastrostomy,Laparoscopy,Long term,Outcome},
  language     = {eng},
  number       = {1},
  pages        = {85--90},
  publisher    = {Springer},
  series       = {Pediatric Surgery International},
  title        = {Long-term outcomes of children undergoing video-assisted gastrostomy},
  url          = {http://dx.doi.org/10.1007/s00383-016-4001-3},
  volume       = {33},
  year         = {2017},
}