Postoperative complications following percutaneous endoscopic gastrostomy are common in children

Erik Sören Halvard Hansen, N. Qvist, L. Rasmussen, M. B. Ellebæk

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Aim: Inserting a feeding tube using percutaneous endoscopic gastrostomy may be necessary to ensure that children with eating problems receive sufficient enteral nutrition. The aim of this study was to investigate the perioperative and postoperative complications of percutaneous endoscopic gastrostomy when the pull-through method was the standard procedure. Methods: This was a retrospective review of 229 children (50.7% male) who underwent a gastrostomy procedure at Odense University Hospital, Denmark, from January 1, 2000 to December 31, 2012. The median age of the children was 1.6 years (range: 0-14.9), and the follow-up period was 36 months. Complications were graded according to the Clavien-Dindo classification. Results: A total of 167 postoperative complications occurred in 118 of the 229 patients (51.5%). Of these, 89 were grade 1 complications, 49 were grade 2 complications, and 29 were grade 3b complications. No gastrostomy-related deaths were observed, and no single preoperative risk factor was identified. Perioperative complications were experienced by 2.6% of the patients. Conclusion: Gastrostomy feeding tube placement was associated with a high rate of postoperative complications of various grades when the pull-through method was the standard procedure. A consensus on how to report and grade complications arising from this procedure is warranted.

OriginalsprogEngelsk
TidsskriftActa Paediatrica
Vol/bind106
Udgave nummer7
Sider (fra-til)1165–1169
ISSN0803-5253
DOI
StatusUdgivet - 2017

Fingeraftryk

Gastrostomy
Enteral Nutrition
Denmark

Citer dette

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title = "Postoperative complications following percutaneous endoscopic gastrostomy are common in children",
abstract = "Aim: Inserting a feeding tube using percutaneous endoscopic gastrostomy may be necessary to ensure that children with eating problems receive sufficient enteral nutrition. The aim of this study was to investigate the perioperative and postoperative complications of percutaneous endoscopic gastrostomy when the pull-through method was the standard procedure. Methods: This was a retrospective review of 229 children (50.7{\%} male) who underwent a gastrostomy procedure at Odense University Hospital, Denmark, from January 1, 2000 to December 31, 2012. The median age of the children was 1.6 years (range: 0-14.9), and the follow-up period was 36 months. Complications were graded according to the Clavien-Dindo classification. Results: A total of 167 postoperative complications occurred in 118 of the 229 patients (51.5{\%}). Of these, 89 were grade 1 complications, 49 were grade 2 complications, and 29 were grade 3b complications. No gastrostomy-related deaths were observed, and no single preoperative risk factor was identified. Perioperative complications were experienced by 2.6{\%} of the patients. Conclusion: Gastrostomy feeding tube placement was associated with a high rate of postoperative complications of various grades when the pull-through method was the standard procedure. A consensus on how to report and grade complications arising from this procedure is warranted.",
keywords = "Clavien-Dindo classification, Feeding tube placement, Percutaneous endoscopic gastrostomy, Perioperative complications, Postoperative complications",
author = "{Halvard Hansen}, {Erik S{\"o}ren} and N. Qvist and L. Rasmussen and Elleb{\ae}k, {M. B.}",
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Postoperative complications following percutaneous endoscopic gastrostomy are common in children. / Halvard Hansen, Erik Sören; Qvist, N.; Rasmussen, L.; Ellebæk, M. B.

I: Acta Paediatrica, Bind 106, Nr. 7, 2017, s. 1165–1169.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Postoperative complications following percutaneous endoscopic gastrostomy are common in children

AU - Halvard Hansen, Erik Sören

AU - Qvist, N.

AU - Rasmussen, L.

AU - Ellebæk, M. B.

PY - 2017

Y1 - 2017

N2 - Aim: Inserting a feeding tube using percutaneous endoscopic gastrostomy may be necessary to ensure that children with eating problems receive sufficient enteral nutrition. The aim of this study was to investigate the perioperative and postoperative complications of percutaneous endoscopic gastrostomy when the pull-through method was the standard procedure. Methods: This was a retrospective review of 229 children (50.7% male) who underwent a gastrostomy procedure at Odense University Hospital, Denmark, from January 1, 2000 to December 31, 2012. The median age of the children was 1.6 years (range: 0-14.9), and the follow-up period was 36 months. Complications were graded according to the Clavien-Dindo classification. Results: A total of 167 postoperative complications occurred in 118 of the 229 patients (51.5%). Of these, 89 were grade 1 complications, 49 were grade 2 complications, and 29 were grade 3b complications. No gastrostomy-related deaths were observed, and no single preoperative risk factor was identified. Perioperative complications were experienced by 2.6% of the patients. Conclusion: Gastrostomy feeding tube placement was associated with a high rate of postoperative complications of various grades when the pull-through method was the standard procedure. A consensus on how to report and grade complications arising from this procedure is warranted.

AB - Aim: Inserting a feeding tube using percutaneous endoscopic gastrostomy may be necessary to ensure that children with eating problems receive sufficient enteral nutrition. The aim of this study was to investigate the perioperative and postoperative complications of percutaneous endoscopic gastrostomy when the pull-through method was the standard procedure. Methods: This was a retrospective review of 229 children (50.7% male) who underwent a gastrostomy procedure at Odense University Hospital, Denmark, from January 1, 2000 to December 31, 2012. The median age of the children was 1.6 years (range: 0-14.9), and the follow-up period was 36 months. Complications were graded according to the Clavien-Dindo classification. Results: A total of 167 postoperative complications occurred in 118 of the 229 patients (51.5%). Of these, 89 were grade 1 complications, 49 were grade 2 complications, and 29 were grade 3b complications. No gastrostomy-related deaths were observed, and no single preoperative risk factor was identified. Perioperative complications were experienced by 2.6% of the patients. Conclusion: Gastrostomy feeding tube placement was associated with a high rate of postoperative complications of various grades when the pull-through method was the standard procedure. A consensus on how to report and grade complications arising from this procedure is warranted.

KW - Clavien-Dindo classification

KW - Feeding tube placement

KW - Percutaneous endoscopic gastrostomy

KW - Perioperative complications

KW - Postoperative complications

U2 - 10.1111/apa.13865

DO - 10.1111/apa.13865

M3 - Journal article

VL - 106

SP - 1165

EP - 1169

JO - Acta Paediatrica

JF - Acta Paediatrica

SN - 0803-5253

IS - 7

ER -