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Video-assisted gastrostomy in infants less than 1 year.

Backman, Torbjorn ; Arnbjornsson, Einar ; Berglund, Yvonne and Larsson, Lars Torsten LU (2006) In Pediatric Surgery International 22(3). p.243-246
Abstract
The objectives of this study were to report our experience with the laparoscopic video-assisted gastrostomy technique in infants operated during their first year of life. A total of 53 infants (35 males, 18 females) aged 6 +/- 3 months, varying from 3 weeks to 11 months, underwent video-assisted gastrostomy. They were prospectively followed up. Included are infants with neurological dysfunction, chromosomal anomalies, metabolic disorders, cardiac anomalies or respiratory insufficiency. All the infants were operated under general and local anaesthesia. Gastrostomy tube feeding began within 4 h after the operation. The infants were followed with a scheduled control at 1 and 6 months postoperatively documenting complications and weight gain.... (More)
The objectives of this study were to report our experience with the laparoscopic video-assisted gastrostomy technique in infants operated during their first year of life. A total of 53 infants (35 males, 18 females) aged 6 +/- 3 months, varying from 3 weeks to 11 months, underwent video-assisted gastrostomy. They were prospectively followed up. Included are infants with neurological dysfunction, chromosomal anomalies, metabolic disorders, cardiac anomalies or respiratory insufficiency. All the infants were operated under general and local anaesthesia. Gastrostomy tube feeding began within 4 h after the operation. The infants were followed with a scheduled control at 1 and 6 months postoperatively documenting complications and weight gain. The main outcome measure was the number and type of complications as well as weight gain using the age-adjusted Z-score of weight to normalize the data relative to a reference population. The weight before and 6 months after the video-assisted gastrostomy was 5.5 +/- 1.6 and 8.5 +/- 1.6 kg, respectively. The Z-score increased significantly (P < 0.001) from -2.7 +/- 1.5 to -1.7 +/- 1.0. This illustrates the postoperative weight gain and catch-up. Short and long-term complications included minor local wound infection, leakage around the gastrostomy tube and granuloma, but no severe complications. Our results encourage the use of video-assisted gastrostomy as a safe technique to provide a route for long-term nutritional support even in infants less than 1 year. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
gastrostomy, infants, laparoscopy
in
Pediatric Surgery International
volume
22
issue
3
pages
243 - 246
publisher
Springer
external identifiers
  • wos:000236032700009
  • pmid:16402265
  • scopus:33644978596
ISSN
1437-9813
DOI
10.1007/s00383-005-1628-x
language
English
LU publication?
yes
id
db341fe8-7b48-4560-8d74-f7ca3384dab7 (old id 150442)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16402265&dopt=Abstract
date added to LUP
2016-04-01 15:21:13
date last changed
2020-12-08 04:49:59
@article{db341fe8-7b48-4560-8d74-f7ca3384dab7,
  abstract     = {The objectives of this study were to report our experience with the laparoscopic video-assisted gastrostomy technique in infants operated during their first year of life. A total of 53 infants (35 males, 18 females) aged 6 +/- 3 months, varying from 3 weeks to 11 months, underwent video-assisted gastrostomy. They were prospectively followed up. Included are infants with neurological dysfunction, chromosomal anomalies, metabolic disorders, cardiac anomalies or respiratory insufficiency. All the infants were operated under general and local anaesthesia. Gastrostomy tube feeding began within 4 h after the operation. The infants were followed with a scheduled control at 1 and 6 months postoperatively documenting complications and weight gain. The main outcome measure was the number and type of complications as well as weight gain using the age-adjusted Z-score of weight to normalize the data relative to a reference population. The weight before and 6 months after the video-assisted gastrostomy was 5.5 +/- 1.6 and 8.5 +/- 1.6 kg, respectively. The Z-score increased significantly (P &lt; 0.001) from -2.7 +/- 1.5 to -1.7 +/- 1.0. This illustrates the postoperative weight gain and catch-up. Short and long-term complications included minor local wound infection, leakage around the gastrostomy tube and granuloma, but no severe complications. Our results encourage the use of video-assisted gastrostomy as a safe technique to provide a route for long-term nutritional support even in infants less than 1 year.},
  author       = {Backman, Torbjorn and Arnbjornsson, Einar and Berglund, Yvonne and Larsson, Lars Torsten},
  issn         = {1437-9813},
  language     = {eng},
  number       = {3},
  pages        = {243--246},
  publisher    = {Springer},
  series       = {Pediatric Surgery International},
  title        = {Video-assisted gastrostomy in infants less than 1 year.},
  url          = {http://dx.doi.org/10.1007/s00383-005-1628-x},
  doi          = {10.1007/s00383-005-1628-x},
  volume       = {22},
  year         = {2006},
}