Complications according to underlying disease in children undergoing video-assisted gastrostomy

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Margret Brands Viktorsdottir Martin Salö Pernilla Stenström Magnus Anderberg Anna Börjesson Einar Arnbjörnsson Torbjörn Backman

Abstract

Purpose: The aim of this study was to identify short-term complications after video-assisted gastrostomy in children and to examine the association between complications and underlying disease.

Methods: This was a retrospective study at a single institution. Data for all children who underwent video-assisted gastrostomy during 12 years was collected. Complications occurring within three months postoperatively were analyzed.

Results: Among 421 children undergoing video-assisted gastrostomy, 402 were included in the study. The median age at surgery was two years (range one month-14 years). The most common underlying disorder was neurological disease (49%). There were two major postoperative complications and 78% had minor complications. Minor complications included granulation tissue (43%), leakage (16%), wound infection (14%), vomiting, dislodgement and pain. There was no significant difference in frequency of the various complications when compared between the underlying diseases (p=0.10-0.82). Wound infection was registered in overall 14% and occurred least frequently in children with neurologic disease and syndromes (10% and 9% respectively).

Conclusion: Serious complications after video-assisted gastrostomy are rare, while minor complications occur in 78% of the children. There is no association between the frequency of complications and underlying disease according to this study.

Article Details

How to Cite
VIKTORSDOTTIR, Margret Brands et al. Complications according to underlying disease in children undergoing video-assisted gastrostomy. Medical Research Archives, [S.l.], v. 5, n. 6, june 2017. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1331>. Date accessed: 22 july 2024.
Keywords
Gastrostomy; laparoscopy; children; outcome; complications
Section
Research Articles

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