ArticlePediatric surgery international2010
Gastrostomy complications in infants and children: a comparative study.
Article in Pediatric surgery international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis.Pediatric surgery international · 2018Pooled it
- The relationship between percutaneous endoscopic gastrostomy and gastro-oesophageal reflux disease in children: a systematic review.Surgical endoscopy · 2012Pooled it
- Laparoscopic gastrostomy tube placement: impact of suture technique on short-term outcomes.Pediatric surgery international · 2026Article
- Retrospective cohort comparison between fluoroscopic and radiograph-only exams for evaluation of gastrostomy and gastrojejunostomy tubes.Pediatric radiology · 2023Article
- Complications of Percutaneous and Surgical Gastrostomy Placements in Children: a Single-Centre Series.JPGN reports · 2023Article
- Replacement of Dislodged Gastrostomy Tubes After Stoma Dilation in the Pediatric Emergency Department.The western journal of emergency medicine · 2017Article
- Feeding gastrostomy in children with complex heart disease: when is a fundoplication indicated?Pediatric surgery international · 2016Article
- Laparoscopic-assisted percutaneous endoscopic gastrostomy: insertion of a skin-level device using a tear-away sheath.Canadian journal of surgery. Journal canadien de chirurgie · 2015Article
- Gastrostomy Intraperitoneal Bumper Migration in a Three-Year-Old Child: A Rare Complication following Gastrostomy Tube Replacement.Case reports in gastroenterology · 2014Article
- Comparison of percutaneous endoscopic, laparoscopic and open gastrostomy insertion in children.Pediatric surgery international · 2013Article
- Percutaneous gastrostomy tubes in children with Pierre Robin sequence: efficacy, maintenance and complications.Pediatric radiology · 2012Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGastrostomy is a commonly undertaken procedure in children. Methods for gastrostomy insertion have evolved and laparoscopy is commonly used to aid its insertion. The aim of this study is to review the outcome and complications of laparoscopic-assisted gastrostomy insertion.
methodsA retrospective case note review of children undergoing gastrostomy insertion by a single surgeon from 1999 to 2007.
results114 children underwent gastrostomy insertion, 68 males and 46 females, with a median age of 55 months (IQR 28-149 months). The majority were neurologically impaired. 98 underwent laparoscopic-assisted PEG (86%), 1 was converted to open procedure (0.9%) and 16 had standard PEG (14%). Median follow-up was 10.5 months with 90 children having their original gastrostomy changed to a button at a median interval of 7.4 months. Complications observed included new or deteriorating gastro-oesophageal reflux (GOR) (n = 16), infection (n = 9), granulation tissue (n = 11), tube dislodgement (n = 2) and intra-abdominal leakage of feed (n = 2). There were two gastrocolic fistulae which occurred in the standard PEG group.
conclusionThe inadvertent formation of a gastrocolic fistula was avoided with the use of laparoscopy to aid PEG insertion.
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Registered trials
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