ArticleJournal of minimal access surgery
Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis.
Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 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
- Prevalence of Gastrostomy-Related Procedures in Polish Children: A Longitudinal Nationwide Analysis.Journal of clinical medicine · 2025Article
- Gastrostomy in Children: A 5-Year Single Tertiary Center Experience.Medicina (Kaunas, Lithuania) · 2025Article
- Pediatric laparoscopic versus percutaneous gastrostomy tube placement: a single-center review.Pediatric surgery international · 2024Article
- Over-the-scope clip for closure of persistent gastrocutaneous fistula after gastrostomy tube removal: a multicenter pediatric experience.Surgical endoscopy · 2024Article
- Single-Incision Open versus Laparoscopic Gastrostomy in Infants: A Comparative Study.African journal of paediatric surgery : AJPS · 2023Article
- Advances and challenges of gastrostomy insertion in children.World journal of gastrointestinal surgery · 2023Review
- Complications of Percutaneous and Surgical Gastrostomy Placements in Children: a Single-Centre Series.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
- Influence of laparoscopy-aided gastrostomy on gastroesophageal reflux in neurologically impaired patients using multichannel intraluminal impedance pH measurements.Esophagus : official journal of the Japan Esophageal Society · 2022Article
- Is endoscopy beneficial in pediatric laparoscopic gastrostomy insertion; A 9-year comparative study.Frontiers in pediatrics · 2022Article
- Variability in the Method of Gastrostomy Placement in Children.Children (Basel, Switzerland) · 2020Article
- Indolent complication after percutaneous endoscopic gastrostomy: a case report of gastric fistula.World journal of pediatric surgery · 2020Article
- A new laparoscopic triangle fixation technique for gastrostomy: a safe and effective procedure for reduction of the wound infection rate.Nagoya journal of medical science · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous endoscopic gastrostomy (PEG) and laparoscopic-assisted gastrostomy (LAG) are widely used in the paediatric population. The aim of this study was to determine which one of the two procedures is the most effective and safe method.
methodsThis systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses statement. Primary outcomes were success rate, efficacy of feeding, quality of life, gastroesophageal reflux and post-operative complications.
resultsFive retrospective studies, comparing 550 PEG to 483 LAG placements in children, were identified after screening 2347 articles. The completion rate was similar for both procedures. PEG was associated with significantly more adjacent bowel injuries (P = 0.047), early tube dislodgements (P = 0.02) and complications that require reintervention under general anaesthesia (P < 0.001). Minor complications were equally frequent after both procedures.
conclusionsBecause of the lack of well-designed studies, we have to be cautious in making definitive conclusions comparing PEG to LAG. To decide which type of gastrostomy placement is best practice in paediatric patients, randomised controlled trials comparing PEG to LAG are highly warranted.
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.