SynthesisPediatric surgery international2018
Comparison of major complications in children after laparoscopy-assisted gastrostomy and percutaneous endoscopic gastrostomy placement: a meta-analysis.
Synthesis in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled 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.
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
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- A meta-analysis suggests the association of reduced serum level of vitamin D and T-allele of Fok1 (rs2228570) polymorphism in the vitamin D receptor gene with celiac disease.Frontiers in nutrition · 2022Pooled it
- Celiac disease poses significant risk in developing depression, anxiety, headache, epilepsy, panic disorder, dysthymia: A meta-analysis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2021Pooled it
- Laparoscopic gastrostomy tube placement: impact of suture technique on short-term outcomes.Pediatric surgery international · 2026Article
- Double barbed purse-string suture laparoscopic gastrostomy.Updates in surgery · 2026Article
- A Comparative Study of Surgical and Endoscopic Gastrostomy Tube Insertion in Pediatric Patients.Cureus · 2026Article
- Small skin incision and less suture material reduce granuloma after laparoscopic gastrostomy: a prospective observational study in children.Pediatric surgery international · 2026Observational
- Laparoscopic-assisted 'pull-introducer technique' for gastrostomy tube placement in small infants: A single-centre experience.JPGN reports · 2025Article
- Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls.World journal of radiology · 2025Review
- 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
- Time trends and outcomes of gastrostomy placement in a Swedish national cohort over two decades.World journal of gastroenterology · 2024Article
- Complications after pediatric percutaneous endoscopic gastrostomy: comparison of the push and pull technique.World journal of pediatric surgery · 2024Article
- Advances and challenges of gastrostomy insertion in children.World journal of gastrointestinal surgery · 2023Review
- Complications of Gastrostomy and Gastrojejunostomy: The Prevalence in Children.Pediatric gastroenterology, hepatology & nutrition · 2023Article
- Complications of Percutaneous and Surgical Gastrostomy Placements in Children: a Single-Centre Series.JPGN reports · 2023Article
- Rate of paediatric gastrostomy insertion in England and relationship to epidemiology of cerebral palsy.Frontline gastroenterology · 2023Article
- Gastrostomies: experience and complications with three modalities in a tertiary centre over a 26-year period.Frontiers in medicine · 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
- Nationwide Survey for Pediatric Gastrostomy Tube Placement in Korea.Journal of Korean medical science · 2022Article
- Assessing clinical outcomes of modified laparoscopic gastrostomy in children: a case control study.BMC surgery · 2022Article
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 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA meta-analysis was performed to compare the rates of the major complications associated with two gastrostomy tube placement techniques in a pediatric population: laparoscopy-assisted gastrostomy (LAG) and percutaneous endoscopic gastrostomy (PEG).
methodsThe PubMed electronic database was queried for comparative studies of the two insertion techniques. The Newcastle-Ottawa scale (NOS) was used for the assessment of the quality and risk of bias in the included studies. The main outcome measure was the frequency of major complications defined as the need for reoperation within 30 days or death. RevMan 5.3, was used, with a p < 0.05 indicating statistical significance.
resultsEight studies including 1550 patients met the inclusion criteria. The risk for major complications was higher in PEG than in LAG 3.86 (95% confidence interval 1.90-7.81; p < 0.0002). The number needed to treat to reduce one major complication by performing LAG instead of PEG was 23. There were no randomized-controlled trials. Overall, the quality of the included studies was determined to be unsatisfactory.
conclusionsPEG placement was associated with a significantly higher risk of major complications compared to LAG placement. Therefore, LAG should be the preferred method for gastrostomy tube placement in children.
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.