gastrostomy in children
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2021 ◽  
Vol 0 (0) ◽  
pp. 377-381
Author(s):  
İshak Abdurrahman Işık ◽  
Ulaş Emre Akbulut ◽  
Atike Atalay ◽  
Hasan Serdar Kıhtır ◽  
Yasin Bayram

2021 ◽  
Vol 12 (3) ◽  
pp. 329-335
Author(s):  
Carmine Noviello ◽  
Mercedes Romano ◽  
Edoardo Bindi ◽  
Giovanni Cobellis ◽  
Stefano Nobile ◽  
...  

Children with complex medical issues often present different comorbidities that cause feeding difficulties. Gastrostomy is often helpful, and should be performed when nutritional supplementation is necessary for longer than 6 weeks. Recently, different techniques have been used for gastrostomy in children. The authors report on their experiences regarding the diagnostic and therapeutic management of children requiring gastrostomy. All patients managed in the last 10 years were reviewed, retrospectively. Everyone underwent investigation to exclude gastroesophageal reflux disease (GERD). A total of 148 patients: 111 cases (75%) were neurologically impaired patients, 18 (12%) had complex heart disease, 10 (6%) had metabolic diseases, 4 (3%) had fibrosis cystic, 4 (3%) had muscle disease, and one had chromosomopathy. After investigation, 49 patients had GERD. PEG was performed in 101 cases (68%), laparo-assisted gastrostomy was performed in 44 cases (29.7%), open gastrostomy was performed in three cases. At follow-up, all patients reported weight gain, but 13 cases had major complications. Currently, the surgeon has the possibility of choosing between several safe techniques for gastrostomy. In our experience, PEG is the most useful technique for patients without GERD, while a laparo-assisted technique is better for patients who require laparoscopic fundoplication.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Matjaž Homan ◽  
Bruno Hauser ◽  
Claudio Romano ◽  
Christos Tzivinikos ◽  
Filippo Torroni ◽  
...  

2021 ◽  
Vol 42 (2) ◽  
pp. 205-208
Author(s):  
Faisal A. Alhaffaf ◽  
Awad S. Alqahtani ◽  
Abdulrahman A. Alrobyan ◽  
Sarah N. Alqubaisi ◽  
Bashar A. Ahmad ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Francesco Alessandri ◽  
Caterina Strisciuglio ◽  
Cristian Borrazzo ◽  
Denis Cozzi ◽  
Claudio Romano ◽  
...  

2020 ◽  
Vol 217 ◽  
pp. 131-138.e10 ◽  
Author(s):  
Peter Jacoby ◽  
Kingsley Wong ◽  
Preeyaporn Srasuebkul ◽  
Emma J. Glasson ◽  
David Forbes ◽  
...  

2019 ◽  
Vol 244 ◽  
pp. 460-467 ◽  
Author(s):  
R. Michael Dorman ◽  
Leo Andrew Benedict ◽  
Joseph Sujka ◽  
Justin Sobrino ◽  
Charlene Dekonenko ◽  
...  

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