Pre- and postoperative vomiting in children undergoing video-assisted gastrostomy tube placement.
Background. The aim of this study was to determine the incidence of pre- and postoperative vomiting in children undergoing a Video-Assisted Gastrostomy (VAG) operation. Patients and Methods. 180 children underwent a VAG operation and were subdivided into groups based on their underlying diagnosis. An anamnesis with respect to vomiting was taken from each of the children's parents before the operation. After the VAG operation, all patients were followed prospectively at one and six months after surgery. All complications including vomiting were documented according to a standardized protocol. Results. Vomiting occurred preoperatively in 51 children (28%). One month after surgery the incidence was 43 (24%) in the same group of children and six months after it was found in 40 (22%). There was a difference in vomiting frequency both pre- and postoperatively between the children in the groups with different diagnoses included in the study. No difference was noted in pre- and postoperative vomiting frequency within each specific diagnosis group. Conclusion. The preoperative vomiting symptoms persisted after the VAG operation. Neurologically impaired children had a higher incidence of vomiting than patients with other diagnoses, a well-known fact, probably due to their underlying diagnosis and not the VAG operation. This information is useful in preoperative counselling.
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Torbjörn
0000-0002-6482-5269
T
Backman
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Helén
H
Sjövie
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Malin
M
Mellberg
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Anna
0000-0003-0058-7713
A
Börjesson
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Magnus
M
Anderberg
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Carl-Magnus
CM
Kullendorff
Department of Paediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden ; The Institution of Clinical Research, Lund University, 221 85 Lund, Sweden.
Einar
E
Arnbjörnsson