Initial experience with percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients.
Endosc Int Open
; 6(2): E179-E185, 2018 Feb.
Article
en En
| MEDLINE
| ID: mdl-29399615
ABSTRACT
BACKGROUND AND STUDY AIMS:
Insertion of a percutaneous endoscopic gastrostomy (PEG) with push-through technique and T-fastener fixation (PEG-T) has recently been introduced in pediatric patients. The T-fasteners allow a primary insertion of a balloon gastrostomy. Due to limited data on the results of this technique in children, we have investigated peri- and postoperative outcomes after implementation of PEG-T in our department. PATIENTS ANDMETHODS:
This retrospective chart review included all patients below 18 years who underwent PEG-T placement from 2010 to 2014. Main outcomes were 30-day postoperative complications and late gastrostomy-related complications.RESULTS:
In total, 87 patients were included, and median follow-up time was 2.4 years (1 month - 4.9 years). Median age and weight at PEG-T insertion were 1.9 years (9.4 months - 16.4 years) and 10.4âkg (5.4â-â33.0âkg), respectively. Median operation time was 28 minutes (10â-â65 minutes), and 6 surgeons and 3 endoscopists performed the procedures. During the first 30 days, 54 complications occurred in 41 patients (47â%). Most common were peristomal infections treated with either local antibiotics in 11 patients (13â%) or systemic antibiotics in 11 other patients (13â%). 9 patients (10â%) experienced tube dislodgment. Late gastrostomy-related complications occurred in 33 patients (38â%). The T-fasteners caused early and late complications in 9 (10â%) and 11 patients (13â%), respectively. Of these, 4 patients (5â%) had subcutaneously migrated T-fasteners which were removed under general anesthesia.CONCLUSION:
We found a high rate of complications after PEG-T. In particular, problems with the T-fasteners and tube dislodgment occurred frequently after PEG-T insertion.
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Bases de datos:
MEDLINE
Idioma:
En
Revista:
Endosc Int Open
Año:
2018
Tipo del documento:
Article
País de afiliación:
Noruega