Complications of percutaneous endoscopic gastrostomy in children: results of an Italian multicenter observational study

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
Francesco Fascetti-LeonPietro Betalli

Abstract

Percutaneous endoscopic gastrostomy is the preferred way to achieve an artificial feeding route for patients requiring long-term enteral nutrition. Although the procedure is well-standardized, it carries early and late complications. To establish the mortality and morbidity of this technique in a large cohort of children. A multi-centre prospective clinical data collection from children undergoing percutaneous endoscopic gastrostomy tube implantation has been conducted from January 2004 to December 2007. Previous abdominal surgery was the only exclusion criterion. Follow-up visits were carried out at 1, 3, 6, 12, and 24 months after the procedure. 239 children (males, 55.2%; mean age 6.05±6.1years) were enrolled from nine tertiary Italian centres. Major complications occurred in 8 patients (3.3%). The cumulative incidence of complications was 47.7% at 24 months. The presence of thoraco-abdominal deformity was an independent predictor of complications at 12 months. No risk factors were identified in association to complications during the 1st tube replacement. In children undergoing percutaneous endoscopic gastrostomy placement minor complications are common, while severe morbidities are rare. Accurate follow up is essential to ...Continue Reading

References

Apr 1, 1990·AJR. American Journal of Roentgenology·M E HicksE V Lang
Dec 1, 1980·Journal of Pediatric Surgery·M W GaudererR J Izant
Feb 1, 1997·Journal of Pediatric Surgery·J A IschJ L Grosfeld
Feb 24, 1998·Journal of Pediatric Surgery·I U KhattakL Spitz
Mar 14, 1998·Journal of Pediatric Surgery·D L MollittD E George
May 2, 1998·Seminars in Laparoscopic Surgery·K E Georgeson
Jun 9, 2001·Endoscopy·L Wilson, M Oliva-Hemker
Apr 5, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Recep GulogluOrhan Alimoglu
Sep 1, 2005·Digestive Diseases and Sciences·Jason Crosby, Donald Duerksen
Dec 16, 2006·Digestive Diseases and Sciences·Travis F WigginsM H DeLegge
Apr 25, 2007·Surgical Endoscopy·Thomas HorbachMichael Siassi
Feb 25, 2010·Journal of Pediatric Gastroenterology and Nutrition·John E FortunatoKathleen B Schwarz

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Citations

Oct 22, 2013·Digestive Diseases and Sciences·Sang Pyo LeeSeung Hyun Kim
Dec 22, 2015·Pediatric Surgery International·Jason P SulkowskiBrian Kenney
Dec 15, 2015·The Journal of Pediatrics·M Florencia RicciUNKNOWN Western Canadian Complex Pediatric Therapies Follow-up Group
Nov 11, 2015·Journal of Pediatric Surgery·Jessica Gonzalez-HernandezHannah G Piper
Aug 27, 2015·Academic Pediatrics·Anne M SteyCharles D Vinocur
Sep 23, 2014·Pediatrics International : Official Journal of the Japan Pediatric Society·Guido EngelmannUlrike Teufel
Feb 6, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Margrét Brands ViktorsdóttirLuther Sigurdsson
Jul 26, 2014·Pediatric Gastroenterology, Hepatology & Nutrition·Soo-Hong KimSung-Eun Jung
Jun 17, 2016·Journal of Pediatric Surgery·Morgan K RichardsAdam B Goldin
Dec 22, 2017·Journal of Clinical Nursing·Ashleigh TownleyShauna Kingsnorth
Jan 10, 2018·Clinical Endoscopy·Francesco MacchiniErnesto Leva
Dec 9, 2017·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Hatice Pars, Hicran Çavuşoğlu
Oct 19, 2013·Journal of Pediatric Gastroenterology and Nutrition·David Fox, Joel A Friedlander
Sep 26, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hector OseiGustavo A Villalona
Jul 13, 2019·Nutrients·Grazia Di LeoDaniela Codrich
Jun 5, 2020·Children·Jose H SalazarKyle J Van Arendonk
Mar 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Hilde KromAngelika Kindermann
Nov 21, 2018·World Journal of Pediatrics : WJP·Brigitta BaloghAmulya Kumar Saxena
Aug 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Nina ChuaEdward M Giles
Nov 6, 2020·Journal of Pediatric Gastroenterology and Nutrition·Francesco AlessandriGiovanni Di Nardo
Jun 23, 2021·Journal of Pediatric Gastroenterology and Nutrition·Matjaž HomanJorge Amil-Dias

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