Outcome After Percutaneous Endoscopic Gastrostomy in Children and Young Adults

Fortunato, John E.; Troy, April L; Cuffari, Carmen; Davis, Jennifer; Loza, Matthew; Oliva-Hemker, Maria; Schwarz, Kathleen B.

doi:10.1097/mpg.0b013e3181aed6f1

Cited by 96 publications

(94 citation statements)

References 23 publications

(33 reference statements)

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“…When the distribution of 34 patients included in this study was examined, it was observed that the patients with neurological problems were in the first order. This was compatible with the large series published worldwide (8,9). In two studies conducted in our country, it was reported that children with neurological diseases were in the first order among the pediatric subjects in whom PEG was placed (4,10).…”

Section: Discussionsupporting

confidence: 76%

“…In a study which included 747 children which is the largest series so far, the rate of early postoperative complication (wound infection, pneumoperitoneum, tissue necrosis and most importantly separation of the stomach from the abdominal wall) was found to be 4% (8). The rate of minor complications including wound infection and formation of granuloma after discharge was found to be 20% and gastrocolonic fistula was reported only in one patient (8). In our series, local stoma infection which developed as a result of placement of PEG was observed in 8,8% of the subjects.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous endoscopic gastrostomy in children: a single center experience

Koca¹,

Sivrice²,

Dereci³

et al. 2015

Turk Pediatri Ars

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Aim: The aim of this study was to evaluate the demographic data and complication rates in children who had undergone percutaneous endoscopic gastrostomy in a three-year period in our Division of Pediatric Gastroenterology and to interrogate parental satisfaction. Material and Methods:The demographic data, complications and follow-up findings of the patients who had undergone percutaneous endoscopic gastrostomy between March 2011 and March 2014 were examined retrospectively using medical files. Results: Forty seven percutaneous endoscopic gastrostomy and percutaneous endoscopic gastrostomy related procedures were performed in 34 children during a three-year period. The median age of the patients was 2.25 years (3 months-16 years, first and third quartiles=1.0-6.0) and the mean body weight was 13.07±8.6 kg (3 kg-47 kg). Before percutaneous endoscopic gastrostomy procedure, the mean weight z score was -2.26±1.2 (-5-0) and the mean height z score was -2.25±0.96 (-3.85-0.98). The follow-up mean height and weight Z scores at the 12 th month after the percutaneous endoscopic gastrostomy procedure could be reached in 24 patients. A significant increase in the mean weight Z score from -2.41 to -1,07 (p=0.000) and in the mean height Z score from -2.29 to -1.99 (p=0.000) was found one year after percutaneous endoscopic gastrostomy catheter was placed in these 24 patients. Patients with neurological and metabolic diseases constituted the majority (64.7% and 26.5% respectively). Peritoneal leakage of food was detected in one patient and local stoma infections were detected in three patients after the procedure. During the follow up period, "Buried bumper syndrome" was observed in one patient. Following percutaneous endoscopic gastrostomy, the number of patients using anti-reflux medication increased from 16 (47.1%) to 18 (52.9%) (p=0.62). One patient with cerebral palsy who had aspiration pneumonia after percutaneous endoscopic gastrostomy insertion had undergone Nissen fundoplication. Percutaneous endoscopic gastrostomy tube was removed in a patient. The parents had positive views related with percutaneous endoscopic gastrostomy after the procedure. Conclusions: Percutaneous endoscopic gastrostomy is a substantially successful and reliable method in infants as well as in children and adolescents. The parents had positive views related with percutaneous endoscopic gastrostomy after the procedure. (Turk Pediatri Ars 2015; 50: 211-6)

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopic gastrostomy in children: a single center experience

Koca¹,

Sivrice²,

Dereci³

et al. 2015

Turk Pediatri Ars

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“…Известно лишь, что в США ежегодно у педиатрических пациентов выполняется около 11 000 чрескожных эндоскопических гастро-стомий [19][20][21]. Данные о частоте использовании лапароскопической гастростомии разрозненны.…”

Section: дискуссияunclassified

Endosurgical treatment of gastric diseases in newborns and infants

Kozlov¹,

Novozhilov²,

Mikhailov³

et al. 2015

Endosk. khir.

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25Операции на желудке составляют большую часть хирургических вмешательств на органах брюшной полости, которые выполняются у детей первых трех месяцев жизни. Спектр этих процедур у детей ран-него возраста достаточно широк и представлен в основном фундопликацией, гастростомией, пило-ромиотомией и гастрорафией.Опыт применения минимально инвазивного подхода в лечении заболеваний желудка у детей на-считывает чуть более 20 лет. Историческая публи-

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“…Чрескожная эндо-скопическая гастростомия, в отличие от традиционной, способствует более быстрому восстановлению состояния ребенка с наименьшими болевыми ощущениями [30,31]. Ее выполняют два врача: один проводит эндоскопиче-скую процедуру, второй -хирургические манипуляции.…”

Section: обмен опытомunclassified

Modern Methods of Endoscopic Diagnostics and Treatment for Upper Gastrointestinal Tract Diseases in Pediatrics

Андреевич¹,

Kharitonova²,

Шавров³

et al. 2015

Vopr. sovr. pediatr.

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ВВЕДЕНИЕЭндоскопическое исследование -один из наибо-лее информативных методов визуальной диагностики болезней и аномалий развития внутренних органов у детей. Его безопасное и эффективное проведение у пациентов в возрастных категориях от новорожден-ных до подростков требует адекватных медицинских знаний, технического обеспечения и обычно выполняет-ся детским эндоскопистом, обученным по специальной программе подготовки. Однако не всегда эти условия выполнимы, и иногда во взрослой эндоскопической практике возникает необходимость проведения как диагностических, так и лечебных манипуляций у боль-ных детского возраста. Следует отметить, что практиче-ски весь арсенал современных методов внутрипросвет-ного исследования верхнего отдела пищеварительного

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Outcome After Percutaneous Endoscopic Gastrostomy in Children and Young Adults

Abstract: Preoperative diagnosis, indication, prematurity, and neurological impairment did not influence postoperative complications.

Cited by 96 publications

References 23 publications

Percutaneous endoscopic gastrostomy in children: a single center experience

Percutaneous endoscopic gastrostomy in children: a single center experience

Endosurgical treatment of gastric diseases in newborns and infants

Modern Methods of Endoscopic Diagnostics and Treatment for Upper Gastrointestinal Tract Diseases in Pediatrics

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