ArticlePediatric surgery international2012
Gastrostomy insertion in the 21st century: PEG or laparoscopic? Report from a large single-centre series.
Article in Pediatric surgery international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 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
- Percutaneous laparoscopic-assisted gastrostomy outperforms surgical gastrostomy for temporary feeding in long-gap esophageal atresia: a comparative cohort study.Pediatric surgery international · 2026Article
- The Community Cost of Maintaining Gastrostomies in Pediatric Patients.JPGN reports · 2023Article
- Percutaneous endoscopic gastrostomy tube placement via the introducer technique is safe and effective in children when compared to the laparoscopic technique.Pediatric surgery international · 2022Article
- Article
- To Button or Not to Button? Primary Gastrostomy Tubes Offer No Significant Advantage Over Buttons.Pediatric gastroenterology, hepatology & nutrition · 2022Article
- Is endoscopy beneficial in pediatric laparoscopic gastrostomy insertion; A 9-year comparative study.Frontiers in pediatrics · 2022Article
- Persistent Diarrhoea after Percutaneous Endoscopic Gastrostomy (PEG) in Paediatric Patient: Lessons from a Complication.Case reports in pediatrics · 2022Article
- Percutaneous Endoscopic Gastrostomy and Nutritional Interventions by the Pediatric Nutritional Support Team Improve the Nutritional Status of Neurologically Impaired Children.Journal of clinical medicine · 2020Article
- Wound Infection after Laparoscopic-Assisted Gastrostomy in Infants.Surgery journal (New York, N.Y.) · 2019Article
- Elective laparoscopic gastrostomy in children: potential for an enhanced recovery protocol.Pediatric surgery international · 2019Article
- Gastrostomy Placement in Children: Percutaneous Endoscopic Gastrostomy or Laparoscopic Gastrostomy?Surgical laparoscopy, endoscopy & percutaneous techniques · 2016Article
- A comparison of pediatric gastrostomy tube placement techniques.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
- Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study.Surgical endoscopy · 2015Observational
- Two port video-assisted gastrostomy and jejunostomy: technical simplification and clinical results.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2015Article
- Diagnosis of gastroesophageal reflux and anti-reflux procedures among Polish children with gastrostomies: a 10-year nationwide analysis.European journal of clinical nutrition · 2013Article
- Comparison of percutaneous endoscopic, laparoscopic and open gastrostomy insertion in children.Pediatric surgery international · 2013Article
- Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis.Journal of minimal access surgeryArticle
- Percutaneous endoscopic gastrostomy in children less than 10 kilograms: A comparative study.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine whether laparoscopic-assisted gastrostomy (LAG) has superseded percutaneous endoscopic gastrostomy (PEG) based on the clinical outcomes.
methodsA retrospective study was undertaken for the period January 06-December 09. Demographic and clinical outcomes were recorded and the two groups were compared.
results164 patients were studied (PEG, n = 107; LAG, n = 57). 93.5 % of PEG patients required two general anaesthetics compared with 8 % of LAG patients. Median time to using the gastrostomy was 24 (range 0-168) h in PEG and 0 (0-96) h in LAG patients (p < 0.001). Major complications occurred in 15/107 (14 %) of PEG and 2/57 (3.5 %) of LAG patients (p = 0.05). Re-operation rate following complications was 18/107 (16.8 %) for PEG and 3/57 (5.2 %) for LAG (p = 0.05). Minor complications arose in 41/107 (38 %) of PEG and 32/57 (56 %) of LAG (p = 0.05). Post-operative hospital stay was 2 (1-40) days for PEG and 2 (0-20) days for LAG (p = 0.01). The day-case rate was 0/107 for PEG and 5/57 (9 %) for LAG. There was no gastrostomy-related mortality in the series.
conclusionLAG requires fewer anaesthetics, is associated with shorter time to feeding, shortened hospital stay and has a reduced risk of major complications. LAG is a very good alternative to the PEG in children.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.