Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010.
To access publisher's full text version of this article click on the hyperlink at the bottom of the page The aim of this study was to review the indications and the results of percutaneous endoscopic gastrostomy (PEG) procedures in Icelandic children. A retrospective review of all pediatric PEG...
Published in: | Journal of Laparoendoscopic & Advanced Surgical Techniques |
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Format: | Article in Journal/Newspaper |
Language: | English |
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Mary Ann Liebert
2015
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Online Access: | http://hdl.handle.net/2336/561076 https://doi.org/10.1089/lap.2014.0296 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/561076 2023-05-15T16:49:39+02:00 Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. Viktorsdóttir, Margrét Brands Óskarsson, Kristján Gunnarsdóttir, Anna Sigurdsson, Luther 1 Landspitali Univ Hosp, Dept Surg, Reykjavik, Iceland 2 Landspitali Univ Hosp, Dept Pediat Surg, Reykjavik, Iceland 3 Karolinska Univ Hosp, Astrid Lindgren Children Hosp, Dept Pediat Surg, Stockholm, Sweden 4 Univ Wisconsin, Sch Med & Publ Hlth, Dept Pediat, Madison, WI 53792 USA 2015 http://hdl.handle.net/2336/561076 https://doi.org/10.1089/lap.2014.0296 en eng Mary Ann Liebert http://dx.doi.org/ 10.1089/lap.2014.0296 J Laparoendosc Adv Surg Tech A 2015, 25 (3):248-51 1557-9034 25654432 doi:10.1089/lap.2014.0296 http://hdl.handle.net/2336/561076 Journal of laparoendoscopic & advanced surgical techniques. Part A Archived with thanks to Journal of laparoendoscopic & advanced surgical techniques. Part A Closed - Lokað Magaspeglun Börn Gastroscopy Gastrostomy/adverse effects Gastrostomy/methods* Infant Child Preschool Enteral Nutrition Article 2015 ftlandspitaliuni https://doi.org/10.1089/lap.2014.0296 2022-05-29T08:22:05Z To access publisher's full text version of this article click on the hyperlink at the bottom of the page The aim of this study was to review the indications and the results of percutaneous endoscopic gastrostomy (PEG) procedures in Icelandic children. A retrospective review of all pediatric PEG procedures performed in Iceland in 1999-2010 was conducted. Diagnosis, demographics, complications, and body mass index were recorded. Ninety-eight children (51 girls) were included. Median age was 2 years (range, 1 month-17 years). The most common diagnosis was neurological disease (56%). Median length of stay was 4 days (range, 1-189 days). Extended length of stay was not related to PEG. Before surgery, median body mass index (BMI) was 14.5 kg/m(2) (range, 9.8-20.8 kg/m(2)), and the median BMI-for-age z-score was -1.4 (range, -5.9 to 3.0). One year after surgery, median BMI was 15.3 kg/m(2) (range, 11.2-22.1 kg/m(2)), and median BMI-for-age z-score was -0.5 (range, -5.1 to 3.8). The median weight increased significantly in 1 year by 1.0 standard deviation (P<.0001; 95% confidence interval, -1.4820 to -0.7387). One hundred sixty-six complications were recorded in 65 children; 96% were minor, with the most common being granuloma formation (19%) and superficial skin infection (25%). The rate of infection was not statistically different between those who received preoperative antibiotics versus no antibiotics (P=.296). Major complications were peritonitis (n=3), esophageal tear (n=1), buried bumper (n=1), and malposition of the gastrostomy tube (n=1). Median follow-up was 47 months (range, 1-152 months). Fourteen children died (at 1 month to 3 years), but no deaths were related to PEG insertion. Twenty-seven children were without gastrostomy at follow-up. Twelve children (14%) underwent fundoplication later; 11 of them were neurologically impaired. PEG is a safe technique with a high complication rate, but the majority of complications are minor and easily treatable. Gastrostomy is sometimes temporary. Enteral ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Journal of Laparoendoscopic & Advanced Surgical Techniques 25 3 248 251 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Magaspeglun Börn Gastroscopy Gastrostomy/adverse effects Gastrostomy/methods* Infant Child Preschool Enteral Nutrition |
spellingShingle |
Magaspeglun Börn Gastroscopy Gastrostomy/adverse effects Gastrostomy/methods* Infant Child Preschool Enteral Nutrition Viktorsdóttir, Margrét Brands Óskarsson, Kristján Gunnarsdóttir, Anna Sigurdsson, Luther Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
topic_facet |
Magaspeglun Börn Gastroscopy Gastrostomy/adverse effects Gastrostomy/methods* Infant Child Preschool Enteral Nutrition |
description |
To access publisher's full text version of this article click on the hyperlink at the bottom of the page The aim of this study was to review the indications and the results of percutaneous endoscopic gastrostomy (PEG) procedures in Icelandic children. A retrospective review of all pediatric PEG procedures performed in Iceland in 1999-2010 was conducted. Diagnosis, demographics, complications, and body mass index were recorded. Ninety-eight children (51 girls) were included. Median age was 2 years (range, 1 month-17 years). The most common diagnosis was neurological disease (56%). Median length of stay was 4 days (range, 1-189 days). Extended length of stay was not related to PEG. Before surgery, median body mass index (BMI) was 14.5 kg/m(2) (range, 9.8-20.8 kg/m(2)), and the median BMI-for-age z-score was -1.4 (range, -5.9 to 3.0). One year after surgery, median BMI was 15.3 kg/m(2) (range, 11.2-22.1 kg/m(2)), and median BMI-for-age z-score was -0.5 (range, -5.1 to 3.8). The median weight increased significantly in 1 year by 1.0 standard deviation (P<.0001; 95% confidence interval, -1.4820 to -0.7387). One hundred sixty-six complications were recorded in 65 children; 96% were minor, with the most common being granuloma formation (19%) and superficial skin infection (25%). The rate of infection was not statistically different between those who received preoperative antibiotics versus no antibiotics (P=.296). Major complications were peritonitis (n=3), esophageal tear (n=1), buried bumper (n=1), and malposition of the gastrostomy tube (n=1). Median follow-up was 47 months (range, 1-152 months). Fourteen children died (at 1 month to 3 years), but no deaths were related to PEG insertion. Twenty-seven children were without gastrostomy at follow-up. Twelve children (14%) underwent fundoplication later; 11 of them were neurologically impaired. PEG is a safe technique with a high complication rate, but the majority of complications are minor and easily treatable. Gastrostomy is sometimes temporary. Enteral ... |
author2 |
1 Landspitali Univ Hosp, Dept Surg, Reykjavik, Iceland 2 Landspitali Univ Hosp, Dept Pediat Surg, Reykjavik, Iceland 3 Karolinska Univ Hosp, Astrid Lindgren Children Hosp, Dept Pediat Surg, Stockholm, Sweden 4 Univ Wisconsin, Sch Med & Publ Hlth, Dept Pediat, Madison, WI 53792 USA |
format |
Article in Journal/Newspaper |
author |
Viktorsdóttir, Margrét Brands Óskarsson, Kristján Gunnarsdóttir, Anna Sigurdsson, Luther |
author_facet |
Viktorsdóttir, Margrét Brands Óskarsson, Kristján Gunnarsdóttir, Anna Sigurdsson, Luther |
author_sort |
Viktorsdóttir, Margrét Brands |
title |
Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
title_short |
Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
title_full |
Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
title_fullStr |
Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
title_full_unstemmed |
Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
title_sort |
percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010. |
publisher |
Mary Ann Liebert |
publishDate |
2015 |
url |
http://hdl.handle.net/2336/561076 https://doi.org/10.1089/lap.2014.0296 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/ 10.1089/lap.2014.0296 J Laparoendosc Adv Surg Tech A 2015, 25 (3):248-51 1557-9034 25654432 doi:10.1089/lap.2014.0296 http://hdl.handle.net/2336/561076 Journal of laparoendoscopic & advanced surgical techniques. Part A |
op_rights |
Archived with thanks to Journal of laparoendoscopic & advanced surgical techniques. Part A Closed - Lokað |
op_doi |
https://doi.org/10.1089/lap.2014.0296 |
container_title |
Journal of Laparoendoscopic & Advanced Surgical Techniques |
container_volume |
25 |
container_issue |
3 |
container_start_page |
248 |
op_container_end_page |
251 |
_version_ |
1766039815757758464 |