Postoperative Complications in Children Undergoing Gastrostomy Tube Placement

Abstract

Granulation tissue and tube dislodgement are the most common complications after gastrostomy placement in children. Gender, age, insurance status, and operative technique were not predictive of complications. Emergency department utilization is high in children with gastrostomy tubes.

Outcome of laparoscopic versus open gastrostomy in children

“…We have found a high incidence of minor complications such as granuloma, leakage or infections but no statistical differences between the LAPG and OG group. Our minor complication rate was similar to previous investigators [4,5,8,13] except that the infection rate was higher. The reason might be the larger cohort of children with malignancies (19.7 %) included in our study.…”

Gastrostomy Tube Placement Outcomes in Children: Comparison of Open and Laparoscopic Methods

“…Studies revealed that laparoscopic technique reduces gastro esophageal reflux disease in neurologically impaired patients by improving gastric emptying [10]. Mostly encountered complication were granulation tissue and tube dislodgement after gastrostomy placement in children [11]. However, study conducted in our institution showed high rate of the leakage, pain after feeding and nausea associated with open technique in comparison to the laparoscopic.…”

Postoperative complications in children undergoing video-assisted gastrostomy tube placement correlated to their age and diagnosis

“…The children had comorbidity in the form of epilepsy which was found in 27 (17%), ventricular -peritoneal shunt in 9 (5%) and a mitochondrial disease in 6 (4%) children. 15 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) *The individual weight was assessed by using charts for gender-and age-matched growth standard deviation (SD) scores for Swedish children. Age was approximated to age in months, and weight scores were approximated to the closest whole number in standard deviation.…”

“…In a retrospective study on the postoperative complications after a gastrostomy operation on children the authors found that the operative technique did not have any effect on the postoperative complication rates among children. 11 This may be true regarding minor postoperative problems such as granuloma, infection, leakage and dislodgement of the gastrostomy button. On the other hand, there are significant differences between the major complication rates between the percutaneous endoscopic gastrostomy (PEG) and the video-assisted gastrostomy related to the blind puncture through the abdominal cavity included in the PEG technique.…”

“…This subject has been retrospectively studied 11 in children using different techniques for the operation including the open procedure, laparoscopic assisted technique and laparoscopic technique and even including children undergoing coincidental procedures. The results showed that gender, age and even operative technique were not predictive of the frequency of complications.…”