Publication: Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study
Issued Date
2015-06-01
Resource Type
ISSN
14322218
09302794
09302794
Other identifier(s)
2-s2.0-84928920000
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Surgical Endoscopy. Vol.29, No.6 (2015), 1545-1552
Suggested Citation
Josephine Franken, Femke A. Mauritz, Nutnicha Suksamanapun, Caroline C.C. Hulsker, David C. van der Zee, Maud Y.A. van Herwaarden-Lindeboom Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study. Surgical Endoscopy. Vol.29, No.6 (2015), 1545-1552. doi:10.1007/s00464-014-3839-5 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36423
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study
Other Contributor(s)
Abstract
© 2014, Springer Science+Business Media New York. Introduction: A gastrostomy placement is frequently performed in pediatric patients who require long-term enteral tube feeding. However, data on efficacy, perioperative complications and postoperative gastroesophageal reflux (GER) after laparoscopic gastrostomy (LAG) placement is limited. The aim of this study is to evaluate long-term efficacy and adverse events after LAG in a large cohort and determine whether routine preoperative 24-h pH monitoring should be used to predict postoperative GER. Method: A retrospective observational cohort study was performed including 300 patients (75 % neurologically impaired) that underwent LAG. Results: After a median follow-up of 2.63 years, feeding was successful in 95.9 % of patients. Weight-for-length z-scores significantly increased (p < 0.0005). Major complications were seen in only 6 patients (2.0 %), but minor complications occurred frequently (73.6 %). Overall incidence of GER remained unchanged after LAG. Sensitivity and specificity of preoperative pH monitoring were 17.5 and 76.9 %, respectively. Conclusion: LAG placement in pediatric patients leads to successful feeding in 96 % of patients and serious adverse events are rare. However, the minor complication rate is high. Overall incidence of GER does not increase after LAG. Preoperative 24-h pH monitoring is not a reliable tool to predict postoperative GER. This invasive investigation technique should therefore not be routinely performed.