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 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.
Original language | English |
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Pages (from-to) | 85-90 |
Journal | Pediatric Surgery International |
Volume | 33 |
Issue number | 1 |
Early online date | 2016 Nov 2 |
DOIs | |
Publication status | Published - 2017 Jan |
Subject classification (UKÄ)
- Surgery
- Pediatrics
Free keywords
- Children
- Gastroraphy
- Gastrostomy
- Laparoscopy
- Long term
- Outcome