Long-term outcomes of children undergoing video-assisted gastrostomy

Research output: Contribution to journalArticle

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.

Details

Authors
Organisations
External organisations
  • Skåne University Hospital
  • Lund University
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Surgery
  • Pediatrics

Keywords

  • Children, Gastroraphy, Gastrostomy, Laparoscopy, Long term, Outcome
Original languageEnglish
Pages (from-to)85-90
JournalPediatric Surgery International
Volume33
Issue number1
Early online date2016 Nov 2
Publication statusPublished - 2017 Jan
Publication categoryResearch
Peer-reviewedYes