Efficacy and adverse events of laparoscopic gastrostomy placement in children: results of a large cohort study
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Publication date
2015-06
Authors
Franken, Josephine
Mauritz, Femke A.
Suksamanapun, Nutnicha
Hulsker, Caroline C C
Van Der Zee, David C.
Lindeboom, Maud Y A
Editors
Advisors
Supervisors
Document Type
Article
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taverne
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
Keywords
Children, Gastroesophageal reflux, Laparoscopic gastrostomy, Taverne, Surgery, General Medicine, Journal Article, Observational Study
Citation
Franken, J, Mauritz, F A, Suksamanapun, N, Hulsker, C C C, van der Zee, D C & van Herwaarden-Lindeboom, M Y A 2015, 'Efficacy and adverse events of laparoscopic gastrostomy placement in children : results of a large cohort study', Surgical Endoscopy, vol. 29, no. 6, pp. 1545-1552. https://doi.org/10.1007/s00464-014-3839-5