Gastrostomy Placement in Children: Percutaneous Endoscopic Gastrostomy or Laparoscopic Gastrostomy?

被引：40

作者：

Merli, Laura ^{[1
]}

De Marco, Erika A. ^{[1
]}

Fedele, Camilla ^{[1
]}

Mason, Elena J. ^{[1
]}

Taddei, Alessandra ^{[1
]}

Paradiso, Filomena V. ^{[1
]}

Catania, Vincenzo D. ^{[1
]}

Nanni, Lorenzo ^{[1
]}

机构：

[1] Univ Cattolica Sacro Cuore, Div Pediat Surg, Policlin A Gemelli, Rome, Italy

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2016年 / 26卷 / 05期

关键词：

PEG; gastrostomy; children; complications; ENTERAL NUTRITION; PEG; COMPLICATIONS; TUBES; INSERTION; INFANTS;

D O I：

10.1097/SLE.0000000000000310

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The aim of this study is to compare the outcomes and the complications between the 2 most adopted procedures for gastrostomy placement: percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) in children. We present our study on 69 patients (male: 46/female: 23): group 1 (37 patients, 54%) undergoing PEG, group 2 (32 patients, 46%) undergoing LG. A total of 5 major complications were observed all in the PEG group (13.5%), no major complication was observed in the LG group (P-value<0.05). A total of 12 minor complications were observed: 4 occurred in the PEG group (10.8%) and 8 (25%) in the laparoscopic gastrostmoy group, not statistically relevant. We suggest that the LG should be considered the preferred technique for gastrostomy placement in pediatric patients, particularly in newborns, children with significant skeletal malformations, and patients who underwent previous abdominal surgery.

引用

页码：381 / 384

页数：4

共 25 条

[1] Gastrostomy tube placement in infants and children: is there a preferred technique? [J].

Akay, Begum ;

Capizzani, Tony R. ;

Lee, Alice M. ;

Drongowski, Robert A. ;

Geiger, James D. ;

Hirschl, Ronald B. ;

Mychaliska, George B. .

JOURNAL OF PEDIATRIC SURGERY, 2010, 45 (06) :1147-1152

[2] Video-assisted gastrostomy in infants less than 1 year [J].

Backman, T ;

Arnbjörnsson, E ;

Berglund, Y ;

Larsson, LT .

PEDIATRIC SURGERY INTERNATIONAL, 2006, 22 (03) :243-246

[3] GASTROSTOMY WITHOUT LAPAROTOMY - A PERCUTANEOUS ENDOSCOPIC TECHNIQUE [J].

GAUDERER, MWL ;

PONSKY, JL ;

IZANT, RJ .

JOURNAL OF PEDIATRIC SURGERY, 1980, 15 (06) :872-875

[4] LAPAROSCOPIC GASTROSTOMY AND FUNDOPLICATION [J].

GEORGESON, KE .

PEDIATRIC ANNALS, 1993, 22 (11) :675-677

[5] Interventional radiology techniques for provision of enteral feeding [J].

Given, MF ;

Hanson, JJ ;

Lee, MJ .

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2005, 28 (06) :692-703

[6] Modified laparoendoscopic gastrostomy tube (LEGT) placement [J].

Hassan, Saif F. ;

Pimpalwar, Ashwin P. .

PEDIATRIC SURGERY INTERNATIONAL, 2011, 27 (11) :1249-1254

[7] Laparoscopy-assisted percutaneous endoscopic gastrostomy enables enteral nutrition even in patients with distorted anatomy [J].

Hermanowicz, Adam ;

Matuszczak, Ewa ;

Komarowska, Marta ;

Jarocka-Cyrta, Elzbieta ;

Wojnar, Jerzy ;

Debek, Wojciech ;

Matysiak, Konrad ;

Klek, Stanislaw .

WORLD JOURNAL OF GASTROENTEROLOGY, 2013, 19 (43) :7696-7700

[8] PERCUTANEOUS GASTROSTOMY FOR JEJUNAL FEEDING [J].

HO, CS .

RADIOLOGY, 1983, 149 (02) :595-596

[9] Laparoscopically assisted antegrade percutaneous endoscopic gastrostomy [J].

Idowu, Olajire ;

Driggs, X. Alexis ;

Kim, Sunghoon .

JOURNAL OF PEDIATRIC SURGERY, 2010, 45 (01) :277-279

[10] Laparoscopic gastrostomy: The preferred method of gastrostomy in children [J].

Jones, V. S. ;

La Hei, E. R. ;

Shun, A. .

PEDIATRIC SURGERY INTERNATIONAL, 2007, 23 (11) :1085-1089

← 1 2 3 →