Evidence map›Paper›PMID 27173980›Full record

ArticlePediatric radiology2016

Peritonitis following percutaneous gastrostomy tube insertions in children.

Leema Dookhoo, Sanjay Mahant, Dimitri A Parra, Philip R John, Joao G Amaral, Bairbre L Connolly

Registry-linked trialAbstract read
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In one paragraph

Article in Pediatric radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04331873 (Confirming Proper Replacement of Dislodged Gastrostomy Tubes in Pediatric Patients), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT04331873 nacompletednot on this mapstarted 2019, after this paper: background citation

Confirming Proper Replacement of Dislodged Gastrostomy Tubes in Pediatric Patients: Can we Replace Contrast Injection With Ultrasound

TypeinterventionalSponsorUniversity of TennesseeRan2019 to 2021Enrolled50ConditionsGastrostomy Tube Site Complication, Gastrostomy ComplicationsArmsUltrasound
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Fatal Complications after Pediatric Surgical Interventions: Lessons Learned.European journal of pediatric surgery reports · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leema DookhooDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada. Leema.dookhoo@mail.utoronto.ca.
Sanjay MahantDepartment of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Dimitri A ParraDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.
Philip R JohnDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.
Joao G AmaralDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.
Bairbre L ConnollyDepartment of Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous retrograde gastrostomy has a high success rate, low morbidity, and can be performed under different levels of sedation or local anesthesia in children. Despite its favourable safety profile, major complications can occur. Few studies have examined peritonitis following percutaneous retrograde gastrostomy in children.

objectiveTo identify potential risk factors and variables influencing the development and early diagnosis of peritonitis following percutaneous retrograde gastrostomy. MATERIALS AND

methodsWe conducted a retrospective case-control study of children who developed peritonitis within 7 days of percutaneous retrograde gastrostomy between 2003 and 2012. From the 1,504 patients who underwent percutaneous retrograde gastrostomy, patients who developed peritonitis (group 1) were matched by closest date of procedure to those without peritonitis (group 2). Peritonitis was defined according to recognized clinical criteria. Demographic, clinical, procedural, management and outcomes data were collected.

resultsThirty-eight of 1,504 children (2.5%; 95% confidence interval, 1.8-3.5) who underwent percutaneous retrograde gastrostomy developed peritonitis ≤7 days post procedure (group 1). Fever (89%), irritability (63%) and abdominal pain (55%) occurred on presentation of peritonitis. Group 1 patients were all treated with antibiotics; 41% underwent additional interventions: tube readjustments (8%), aspiration of pneumoperitoneum (23%), laparotomy (10%) and intensive care unit admission (10%). In group 1, enteral feeds started on average 3 days later and patients were discharged 5 days later than patients in group 2. There were two deaths not directly related to peritonitis. Neither age, gender, weight, underlying diagnoses nor operator was identified as a risk factor.

conclusionPeritonitis following percutaneous retrograde gastrostomy in children occurs in approximately 2.5% of cases. No risk factors for its development were identified. Medical management is usually sufficient for a good outcome. Patients with peritonitis are delayed starting feeds and have a hospital stay that is an average of 5 days longer than those without.

Indexed as

AdolescentCase-Control StudiesChildChild, PreschoolFemaleGastrostomyHumansInfantLength of StayMalePeritonitisRadiography, InterventionalRetrospective StudiesRisk FactorsChildrenGastrostomyInterventional radiologyPeritonitisStomach

Identifiers

PMID27173980

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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.