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Complications according to underlying disease in children undergoing video-assisted gastrostomy

Brands Viktorsdóttir, Margrét; Salö, Martin LU ; Stenström, Pernilla LU ; Anderberg, Magnus LU ; Börjesson, Anna LU ; Arnbjörnsson, Einar LU and Backman, Torbjörn LU (2017) In Medical Research Archives 5(6).
Abstract
Purpose: The aim of this study was to identify short-term complications after video-assisted gastrostomy in children and to examine the association between complications and underlying disease.

Methods: This was a retrospective study at a single institution. Data for all children who underwent video-assisted gastrostomy during 12 years was collected. Complications occurring within three months postoperatively were analyzed.

Results: Among 421 children undergoing video-assisted gastrostomy, 402 were included in the study. The median age at surgery was two years (range one month-14 years). The most common underlying disorder was neurological disease (49%). There were two major postoperative complications and 78% had minor... (More)
Purpose: The aim of this study was to identify short-term complications after video-assisted gastrostomy in children and to examine the association between complications and underlying disease.

Methods: This was a retrospective study at a single institution. Data for all children who underwent video-assisted gastrostomy during 12 years was collected. Complications occurring within three months postoperatively were analyzed.

Results: Among 421 children undergoing video-assisted gastrostomy, 402 were included in the study. The median age at surgery was two years (range one month-14 years). The most common underlying disorder was neurological disease (49%). There were two major postoperative complications and 78% had minor complications. Minor complications included granulation tissue (43%), leakage (16%), wound infection (14%), vomiting, dislodgement and pain. There was no significant difference in frequency of the various complications when compared between the underlying diseases (p=0.10-0.82). Wound infection was registered in overall 14% and occurred least frequently in children with neurologic disease and syndromes (10% and 9% respectively).

Conclusion: Serious complications after video-assisted gastrostomy are rare, while minor complications occur in 78% of the children. There is no association between the frequency of complications and underlying disease according to this study. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Gastrostomy, Laparoscopy, CHILDREN, Outcome, complications
in
Medical Research Archives
volume
5
issue
6
ISSN
2375-1916
language
English
LU publication?
yes
id
afe5742d-0ab6-4335-9074-29886238adb9
date added to LUP
2017-06-15 08:37:46
date last changed
2017-06-26 07:58:53
@article{afe5742d-0ab6-4335-9074-29886238adb9,
  abstract     = {Purpose: The aim of this study was to identify short-term complications after video-assisted gastrostomy in children and to examine the association between complications and underlying disease.<br/><br/>Methods: This was a retrospective study at a single institution. Data for all children who underwent video-assisted gastrostomy during 12 years was collected. Complications occurring within three months postoperatively were analyzed.<br/><br/>Results: Among 421 children undergoing video-assisted gastrostomy, 402 were included in the study. The median age at surgery was two years (range one month-14 years). The most common underlying disorder was neurological disease (49%). There were two major postoperative complications and 78% had minor complications. Minor complications included granulation tissue (43%), leakage (16%), wound infection (14%), vomiting, dislodgement and pain. There was no significant difference in frequency of the various complications when compared between the underlying diseases (p=0.10-0.82). Wound infection was registered in overall 14% and occurred least frequently in children with neurologic disease and syndromes (10% and 9% respectively).<br/><br/>Conclusion: Serious complications after video-assisted gastrostomy are rare, while minor complications occur in 78% of the children. There is no association between the frequency of complications and underlying disease according to this study.},
  author       = {Brands Viktorsdóttir, Margrét and Salö, Martin and Stenström, Pernilla and Anderberg, Magnus and Börjesson, Anna and Arnbjörnsson, Einar and Backman, Torbjörn},
  issn         = {2375-1916},
  keyword      = {Gastrostomy,Laparoscopy,CHILDREN,Outcome,complications},
  language     = {eng},
  number       = {6},
  series       = {Medical Research Archives},
  title        = {Complications according to underlying disease in children undergoing video-assisted gastrostomy},
  volume       = {5},
  year         = {2017},
}