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Open Access 01-12-2022 | Gastrostomy | Research article

Assessing clinical outcomes of modified laparoscopic gastrostomy in children: a case control study

Authors: Hussein Naji, Aafia Gheewale, Ebtesam Safi, Faiz Tuma

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

With gastrostomy becoming a common surgical procedure within the pediatric population surgeons continued to introduce modifications on the procedure to overcome some of the challenges and minimize complications. Modified U-stitches laparoscopic gastrostomy is gaining favor in some centers including the center of this study. Hence, this study was conducted to evaluate and compare its outcomes.

Methods

Eighty-nine gastrostomy procedures performed between 2013 and 2020 were reviewed to evaluate the surgical outcomes of a novel modified U-stitches laparoscopic gastrostomy (MLG) to the standard laparoscopic gastrostomy (LG) in children. The main outcome measured is the rate of postoperative complications encompassing dislodgement of gastrostomy button, leak around button, local infection, and development of granulation tissue post-surgery which is compared between the two population groups.

Results

The rate of leak around the button was found to be significantly less in the MLG (4%) compared to (15%) in the traditional LG approach with a p-value of 0.03. However, the overall complication rate for MGL is 63%; while it is 73% for LG.

Conclusions

The modified U-stitches laparoscopic gastrostomy has a lower rate of complications in comparison to the standard laparoscopic gastrostomy making it a preferred technique for gastrostomy placement in children.

Available only for authorised users

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Title: Assessing clinical outcomes of modified laparoscopic gastrostomy in children: a case control study
Authors: Hussein Naji
Aafia Gheewale
Ebtesam Safi
Faiz Tuma
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Gastrostomy
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01515-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessing clinical outcomes of modified laparoscopic gastrostomy in children: a case control study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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