Observational studySurgical endoscopy2015
Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study.
Observational study in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 38 citations in OpenAlex.
- Prevention of hypergranulation tissue after gastrostomy tube placement: A randomised controlled trial of hydrocolloid dressings.International wound journal · 2019Trial
- Small skin incision and less suture material reduce granuloma after laparoscopic gastrostomy: a prospective observational study in children.Pediatric surgery international · 2026Observational
- Gastrostomy and congenital anomalies: a European population-based study.BMJ paediatrics open · 2022Article
- To Button or Not to Button? Primary Gastrostomy Tubes Offer No Significant Advantage Over Buttons.Pediatric gastroenterology, hepatology & nutrition · 2022Article
- Health-related quality of life in children after laparoscopic gastrostomy placement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Elective laparoscopic gastrostomy in children: potential for an enhanced recovery protocol.Pediatric surgery international · 2019Article
- The Effect of Gastrostomy Placement on Gastric Function in Children: a Prospective Cohort Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Outcome of laparoscopic versus open gastrostomy in children.Pediatric surgery international · 2015Article
- Two port video-assisted gastrostomy and jejunostomy: technical simplification and clinical results.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2015Article
- Laparoscopic-assisted percutaneous endoscopic gastrostomy in two patients who failed percutaneous endoscopic gastrostomy.International journal of surgery case reports · 2015Article
- Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.Gastroenterology research and practice · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA gastrostomy placement is frequently performed in pediatric patients who require long-term enteral tube feeding. However, data on efficacy, perioperative complications and postoperative gastroesophageal reflux (GER) after laparoscopic gastrostomy (LAG) placement is limited. The aim of this study is to evaluate long-term efficacy and adverse events after LAG in a large cohort and determine whether routine preoperative 24-h pH monitoring should be used to predict postoperative GER.
methodA retrospective observational cohort study was performed including 300 patients (75 % neurologically impaired) that underwent LAG.
resultsAfter a median follow-up of 2.63 years, feeding was successful in 95.9 % of patients. Weight-for-length z-scores significantly increased (p < 0.0005). Major complications were seen in only 6 patients (2.0 %), but minor complications occurred frequently (73.6 %). Overall incidence of GER remained unchanged after LAG. Sensitivity and specificity of preoperative pH monitoring were 17.5 and 76.9 %, respectively.
conclusionLAG placement in pediatric patients leads to successful feeding in 96 % of patients and serious adverse events are rare. However, the minor complication rate is high. Overall incidence of GER does not increase after LAG. Preoperative 24-h pH monitoring is not a reliable tool to predict postoperative GER. This invasive investigation technique should therefore not be routinely performed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.