The aim of this study is to compare the outcomes and the complications between the 2 most adopted procedures for gastrostomy placement: percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) in children. We present our study on 69 patients (male: 46/female: 23): group 1 (37 patients, 54%) undergoing PEG, group 2 (32 patients, 46%) undergoing LG. A total of 5 major complications were observed all in the PEG group (13.5%), no major complication was observed in the LG group (P-value<0.05). A total of 12 minor complications were observed: 4 occurred in the PEG group (10.8%) and 8 (25%) in the laparoscopic gastrostmoy group, not statistically relevant. We suggest that the LG should be considered the preferred technique for gastrostomy placement in pediatric patients, particularly in newborns, children with significant skeletal malformations, and patients who underwent previous abdominal surgery.

Merli, L., De Marco, E. A., Fedele, C., Mason, E. J., Taddei, A., Paradiso, F. V., Catania, V. D., Nanni, L., Gastrostomy placement in children: Percutaneous endoscopic gastrostomy or laparoscopic gastrostomy?, <<SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES>>, 2016; 26 (5): 381-384. [doi:10.1097/SLE.0000000000000310] [http://hdl.handle.net/10807/92242]

Gastrostomy placement in children: Percutaneous endoscopic gastrostomy or laparoscopic gastrostomy?

Merli, Laura
;
De Marco, Erika Adalgisa
Secondo
;
Taddei, Alessandra;Paradiso, Filomena Valentina;Catania, Vincenzo Davide
Penultimo
;
Nanni, Lorenzo
Ultimo
2016

Abstract

The aim of this study is to compare the outcomes and the complications between the 2 most adopted procedures for gastrostomy placement: percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) in children. We present our study on 69 patients (male: 46/female: 23): group 1 (37 patients, 54%) undergoing PEG, group 2 (32 patients, 46%) undergoing LG. A total of 5 major complications were observed all in the PEG group (13.5%), no major complication was observed in the LG group (P-value<0.05). A total of 12 minor complications were observed: 4 occurred in the PEG group (10.8%) and 8 (25%) in the laparoscopic gastrostmoy group, not statistically relevant. We suggest that the LG should be considered the preferred technique for gastrostomy placement in pediatric patients, particularly in newborns, children with significant skeletal malformations, and patients who underwent previous abdominal surgery.
2016
Inglese
Merli, L., De Marco, E. A., Fedele, C., Mason, E. J., Taddei, A., Paradiso, F. V., Catania, V. D., Nanni, L., Gastrostomy placement in children: Percutaneous endoscopic gastrostomy or laparoscopic gastrostomy?, <<SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES>>, 2016; 26 (5): 381-384. [doi:10.1097/SLE.0000000000000310] [http://hdl.handle.net/10807/92242]
File in questo prodotto:
File Dimensione Formato  
92242OA.pdf

non disponibili

Tipologia file ?: Versione Editoriale (PDF)
Licenza: Non specificato
Dimensione 130.79 kB
Formato Unknown
130.79 kB Unknown   Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/92242
Citazioni
  • ???jsp.display-item.citation.pmc??? 10
  • Scopus 42
  • ???jsp.display-item.citation.isi??? 35
social impact