Gastrostomy insertion in the 21st century: PEG or laparoscopic? Report from a large single-centre series

Gastrostomy insertion in the 21st century: PEG or laparoscopic? Report from a large single-centre series

Purpose To determine whether laparoscopic-assisted gastrostomy (LAG) has superseded percutaneous endoscopic gastrostomy (PEG) based on the clinical outcomes. Methods A retrospective study was undertaken for the period January 06–December 09. Demographic and clinical outcomes were recorded and the tw...

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Veröffentlicht in:Pediatric surgery international 2012-05, Vol.28 (5), p.443-448
Hauptverfasser: Wragg, Ruth Clare, Salminen, Heidi, Pachl, Max, Singh, Michael, Lander, Anthony, Jester, Ingo, Parikh, Dakshesh, Jawaheer, Girish
Format: Artikel
Sprache:eng
Schlagworte:
Adolescent
Child
Child, Preschool
Enteral Nutrition
Female
Gastroscopy - methods
Gastrostomy - methods
Humans
Infant
Laparoscopy - methods
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Original Article
Pediatric Surgery
Pediatrics
Postoperative Complications
Prospective Studies
Retrospective Studies
Statistics, Nonparametric
Surgery
Suture Techniques
Treatment Outcome
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Zusammenfassung:Purpose To determine whether laparoscopic-assisted gastrostomy (LAG) has superseded percutaneous endoscopic gastrostomy (PEG) based on the clinical outcomes. Methods A retrospective study was undertaken for the period January 06–December 09. Demographic and clinical outcomes were recorded and the two groups were compared. Results 164 patients were studied (PEG, n  = 107; LAG, n  = 57). 93.5 % of PEG patients required two general anaesthetics compared with 8 % of LAG patients. Median time to using the gastrostomy was 24 (range 0–168) h in PEG and 0 (0–96) h in LAG patients ( p  
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-012-3079-5