지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제20권 제1호
- 발행연도
- 2017.1
- 수록면
- 34 - 40 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: This study was performed to review the outcomes of gastrostomy insertion in children at our institute during 10 years.Methods: A retrospective chart review was performed on 236 patients who underwent gastrostomy insertion from October 2005 to March 2015. We used our algorithm to select the least invasive method for gastrostomy insertion for each patient. Long-term follow-up was performed to analyze complications related to the method of gastrostomy insertion.Results: Out of 236 patients, 120 underwent endoscopic gastrostomy, 79 had laparoscopic gastrostomy, and 37 had open gastrostomy procedures. The total major complication rates for endoscopic gastrostomy insertion, laparo-scopic gastrostomy insertion, and open gastrostomy were 9.2%, 8.9%, and 8.1%, respectively. The most common major complication was gastroesophageal reflux requiring Nissen fundoplication (3.8%), and other complications included peritonitis (1.3%), hiatal hernia (1.3%), and bowel perforation (0.8%). Gastrostomy removal was successful in 8.6% and 5.0% of patients in the endoscopic and surgical gastrostomy groups, respectively. Gastrocutaneous fistula occurred in 60% of surgically inserted cases, requiring a second operation.Conclusion: This retrospective study was performed to review the outcome of gastrostomy insertion, as well as to introduce an algorithm that can be used for future cases. Further studies should be conducted to make a consensus on choosing the most appropriate method for gastrostomy insertion.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Beasley SW / 1995 / How to avoid complications during percutaneous endoscopic gastrostomy / J Pediatr Surg 30 : 671 ~ 673
Braegger C / 2010 / Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition / J Pediatr Gastroenterol Nutr 51 : 110 ~ 122
Cosentini EP / 1998 / Outcomes of surgical, percutaneous endoscopic, and percutaneous radiologic gastrostomies / Arch Surg 133 : 1076 ~ 1083
El-Rifai N / 2004 / Persistence of gastrocutaneous fistula after removal of gastrostomy tubes in children: prevalence and associated factors / Endoscopy 36 : 700 ~ 704
Gauderer MW / 1980 / Gastrostomy without laparotomy: a percutaneous endoscopic technique / J Pediatr Surg 15 : 872 ~ 875
Braegger C / 2010 / Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition / J Pediatr Gastroenterol Nutr 51 : 110 ~ 122
Cosentini EP / 1998 / Outcomes of surgical, percutaneous endoscopic, and percutaneous radiologic gastrostomies / Arch Surg 133 : 1076 ~ 1083
El-Rifai N / 2004 / Persistence of gastrocutaneous fistula after removal of gastrostomy tubes in children: prevalence and associated factors / Endoscopy 36 : 700 ~ 704
Gauderer MW / 1980 / Gastrostomy without laparotomy: a percutaneous endoscopic technique / J Pediatr Surg 15 : 872 ~ 875
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