Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study

Josephine Franken, Femke A. Mauritz, Nutnicha Suksamanapun, Caroline C C Hulsker, David C. van der Zee, Maud Y A van Herwaarden-Lindeboom*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Scopus)

Abstract

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 

Original languageEnglish
Pages (from-to)1545-1552
Number of pages8
JournalSurgical Endoscopy
Volume29
Issue number6
DOIs
Publication statusPublished - Jun 2015

Keywords

  • Children
  • Gastroesophageal reflux
  • Laparoscopic gastrostomy

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