Evidence map›Paper›PMID 39853386›Full record

ArticlePediatric surgery international2025

Day-case gastrostomy insertion in children: an achievable reality.

David Thompson, Maddie Allam, Karen Dick, Jo Leigh, Rhoda Taylor, Charlie Keys, Lara Kitteringham, Ori Ron, Michael Stanton, Francesca Stedman and 1 more

Abstract read
In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

David ThompsonDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Maddie AllamDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Karen DickDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Jo LeighDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Rhoda TaylorDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Charlie KeysDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Lara KitteringhamDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Ori RonDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Michael StantonDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Francesca StedmanDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK.
Nigel J HallDepartment of Paediatric Surgery and Urology, Southampton Children's Hospital, Southampton, UK. n.j.hall@soton.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecent efforts have sought to streamline gastrostomy insertion care, particularly length of stay (LOS). We report our initial experience with day-case gastrostomy (DCG) insertion.

methodRetrospective review (April 2018-2024) of all primary gastrostomy insertions. Patients discharged the same day as the procedure were defined as DCG. Demographic, operative, and clinical data were recorded. All cases were treated according to a standardized feeding pathway.

resultsOf 432 gastrostomies formed, 15 were DCG; median age 3.5 (0.7-16.9) years, LOS 12 h (9-15 h). The most common indication was nutritional supplementation (n = 9). Gastrostomy technique was single-stage percutaneous rapid insertion of gastrostomy button (SPRING n = 5) or percutaneous endoscopic gastrostomy (PEG n = 10). Prior to insertion, 6/15 DCG were established on nasogastric (NG) feeding, 8 did not use NG feeding, and 1 had occasional NG feeds. The majority (13/15) were performed on morning operating lists. There were 4 minor complications; 2 required readmission.

conclusionDCG in selected cases is feasible and safe. Most cases were performed on morning operating list, but fewer than half had prior experience of nasogastric tube feeding. We suggest additional pathway modifications to improve DCG uptake.

Indexed as

Ambulatory Surgical ProceduresGastrostomyAdolescentChildChild, PreschoolEnteral NutritionFemaleHumansInfantLength of StayMaleRetrospective StudiesDay case surgeryGastrostomyGastrostomy insertionPaediatric gastrostomy

Identifiers

PMID39853386
PMCPMC11761470

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