TY - JOUR
T1 - Efficacy and adverse events of laparoscopic gastrostomy placement in children
T2 - results of a large cohort study
AU - Franken, Josephine
AU - Mauritz, Femke A.
AU - Suksamanapun, Nutnicha
AU - Hulsker, Caroline C C
AU - van der Zee, David C.
AU - van Herwaarden-Lindeboom, Maud Y A
PY - 2015/6
Y1 - 2015/6
N2 - Introduction: A gastrostomy placement is frequently performed in pediatric patients who require long-term enteral tube feeding. However, data on efficacy, perioperative complications and postoperative gastroesophageal reflux (GER) after laparoscopic gastrostomy (LAG) placement is limited. The aim of this study is to evaluate long-term efficacy and adverse events after LAG in a large cohort and determine whether routine preoperative 24-h pH monitoring should be used to predict postoperative GER. Method: A retrospective observational cohort study was performed including 300 patients (75 % neurologically impaired) that underwent LAG. Results: After a median follow-up of 2.63 years, feeding was successful in 95.9 % of patients. Weight-for-length z-scores significantly increased (p
AB - Introduction: A gastrostomy placement is frequently performed in pediatric patients who require long-term enteral tube feeding. However, data on efficacy, perioperative complications and postoperative gastroesophageal reflux (GER) after laparoscopic gastrostomy (LAG) placement is limited. The aim of this study is to evaluate long-term efficacy and adverse events after LAG in a large cohort and determine whether routine preoperative 24-h pH monitoring should be used to predict postoperative GER. Method: A retrospective observational cohort study was performed including 300 patients (75 % neurologically impaired) that underwent LAG. Results: After a median follow-up of 2.63 years, feeding was successful in 95.9 % of patients. Weight-for-length z-scores significantly increased (p
KW - Children
KW - Gastroesophageal reflux
KW - Laparoscopic gastrostomy
UR - http://www.scopus.com/inward/record.url?scp=84928920000&partnerID=8YFLogxK
U2 - 10.1007/s00464-014-3839-5
DO - 10.1007/s00464-014-3839-5
M3 - Article
C2 - 25294527
AN - SCOPUS:84928920000
SN - 0930-2794
VL - 29
SP - 1545
EP - 1552
JO - Surgical Endoscopy
JF - Surgical Endoscopy
IS - 6
ER -