Comparison of the Laparoscopic and Open Methods of Gastrostomy at Neonates and Infants Up To Three Months of Age

Kozlov, Yu. A.; Novozhilov, V. A.; Kovalkov, K.A.; Распутин, А А; Барадиева, П Ж; Razumovsky, Alexander Y.

doi:10.1089/lap.2018.0106

Cited by 16 publications

(9 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently reported advantages during the last decade were less retching after laparoscopic fundoplication 58 60 and less leak, peristomal dermatitis, and granuloma formation after laparoscopic insertion of gastrostomy. 102…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

et al. 2021

View full text Add to dashboard Cite

Introduction Despite its wide acceptance, the superiority of laparoscopic versus open pediatric surgery has remained controversial. There is still a call for well-founded evidence. We reviewed the literature on studies published in the last three decades and dealing with advantages and disadvantages of laparoscopy compared to open surgery. Materials and Methods Studies comparing laparoscopic versus open abdominal procedures in children were searched in PubMed/MEDLINE. Reports on upper and lower gastrointestinal as hepatobiliary surgery and on surgery of pancreas and spleen were included. Advantages and disadvantages of laparoscopic surgery were analyzed for different types of procedures. Complications were categorized using the Clavien–Dindo classification. Results A total of 239 studies dealing with 19 types of procedures and outcomes in 929,157 patients were analyzed. We identified 26 randomized controlled trials (10.8%) and 213 comparative studies (89.2%). The most frequently reported advantage of laparoscopy was shorter hospital stay in 60.4% of studies. Longer operative time was the most frequently reported disadvantage of laparoscopy in 52.7% of studies. Clavien–Dindo grade I to III complications (mild–moderate) were less frequently identified in laparoscopic compared to open procedures (80.3% of studies). Grade-IV complications (severe) were less frequently reported after laparoscopic versus open appendectomy for perforated appendicitis and more frequently after laparoscopic Kasai's portoenterostomy. We identified a decreased frequency of reporting on advantages after laparoscopy and increased reporting on disadvantages for all surgery types over the decades. Conclusion Laparoscopic compared with open pediatric surgery seems to be beneficial in most types of procedures. The number of randomized controlled trials (RCTs) remains limited. However, the number of reports on disadvantages increased during the past decades.

show abstract

Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Age under 1 year was not found to be a risk factor in our study, and this is in line with others suggesting that LAPG is safe also in the smaller patients. 30,31 Still, we would question whether it is wise to use gastrostomy buttons in newborns. In this series, a 1-day-old baby with long gap esophageal atresia who had a balloon device inserted experienced severe leakage.…”

Section: Risk Factorsmentioning

confidence: 99%

Laparoscopic Gastrostomy Placement in Children Has Few Major, but Many Minor Early Complications

2019

View full text Add to dashboard Cite

Introduction Laparoscopic gastrostomy (LAPG) is an increasingly popular alternative to more traditional gastrostomy techniques. This study evaluates early postoperative complications following LAPG and investigates risk factors for gastrostomy complications. Materials and Methods Retrospective study of patients <16 years undergoing LAPG from 2005 to 2018. Early postoperative complications (<30 days) were grouped as gastrostomy-related or general and graded according to the Clavien-Dindo classification for surgical complications. Results A total of 104 patients, of which 54 (52%) had neurological impairment (NI), were included. Median age and weight were 1.2 years (1 day–15.2 years) and 8.9 kg (3.4–36), respectively. Operating time was median 37 minutes (19–86) and shorter in the second half of the patients (46 vs. 35 minutes, p = 0.04). A total of 40 (38%) patients experienced 53 gastrostomy-related complications. Of these, seven complications needed surgical treatment; severe leakage (2), too short gastrostomy button (1), feeding difficulties (1), gastric outlet obstruction (1), omentum trapped in umbilical port sutures (1), and suspected fascial defect (1). Stoma infection and granulation tissue were reported in 13 and 12%, respectively. Tube dislodgement occurred in six patients and was managed with bedside reinsertion in all. Gastrostomy-related complications were less frequent in NI patients (46 vs 22%, p = 0.01). Conclusion LAPG is a safe procedure with few major complications, but a high rate of minor complications. Operating time declined during the study period, and NI patients had fewer gastrostomy-related complications.

show abstract

“…A alimentação enteral por meio da gastrostomia é indicada para os pacientes com necessidade de suplementação nutricional por um período prolongado, isto é, pacientes que apresentam comprometimento da via oral sem perspectiva de melhora ou de recuperação a longo prazo, como desordens neurológicas, distúrbios de deglutição, obstrução esofágica, e má nutrição, secundária a outras comorbidades metabólicas, cardiovasculares ou neoplásicas (SUTCLIFFE et al, 2016;KOZLOV et al, 2019).…”

Section: Lista De Figurasunclassified

“…Fonte: Acervo da própria autora. Kozlov et al (2019), em estudo retrospectivo compararam vias de abordagem de gastrostomia e evidenciaram que a via laparoscópica tem mais segurança e menos restrições em relação à endoscópica, visto que controla todos os passos do procedimento, diminuindo assim a chance de lesão inadvertida de outros órgãos, como pode ocorrer durante a punção gástrica na via endoscópica. Além disso, a via endoscópica tem suas limitações relacionadas à idade e ao peso da criança (KOZLOV et al, 2019).…”

Section: Lista De Figurasunclassified

“…As complicações graves podem ser: migração da sonda com risco de perfurações, desabamentos com pneumoperitôneo massivo, sangramentos intra-abdominais, pneumonia aspirativa, fístulas gastrocólicas, principalmente em procedimentos percutâneos e síndrome de dumping. As complicações de menor gravidade são: granulomas teciduais na estomia, vazamentos, eritema adjacente com dermatite de contato, geralmente associado ao curativo e infecções locais (Figuras 4, 5, 6) (SUTHERLAND et al, 2017;DI LEO et al, 2019;KOZLOV et al, 2019).…”

Section: Lista De Figurasunclassified

See 1 more Smart Citation

Desfechos de pacientes neuropatas com gastrostomia tratados em unidade de terapia intensiva neonatal em hospital público de ensino

Oliveira¹

View full text Add to dashboard Cite

show abstract

Comparison of the Laparoscopic and Open Methods of Gastrostomy at Neonates and Infants Up To Three Months of Age

Cited by 16 publications

References 33 publications

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

Laparoscopic versus Open Pediatric Surgery: Three Decades of Comparative Studies

Laparoscopic Gastrostomy Placement in Children Has Few Major, but Many Minor Early Complications

Desfechos de pacientes neuropatas com gastrostomia tratados em unidade de terapia intensiva neonatal em hospital público de ensino

Contact Info

Product

Resources

About