title: Gastrostomy Placement in Children: Percutaneous Endoscopic Gastrostomy or Laparoscopic Gastrostomy?
abstract: The aim of this study is to compare the outcomes and the complications between the 2 most adopted procedures for gastrostomy placement: percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) in children. We present our study on 69 patients (male: 46/female: 23): group 1 (37 patients, 54%) undergoing PEG, group 2 (32 patients, 46%) undergoing LG. A total of 5 major complications were observed all in the PEG group (13.5%), no major complication was observed in the LG group (P-value<0.05). A total of 12 minor complications were observed: 4 occurred in the PEG group (10.8%) and 8 (25%) in the laparoscopic gastrostmoy group, not statistically relevant. We suggest that the LG should be considered the preferred technique for gastrostomy placement in pediatric patients, particularly in newborns, children with significant skeletal malformations, and patients who underwent previous abdominal surgery.
authors.affiliation: Division of Pediatric Surgery, Catholic University of the Sacred Heart, Policlinico "A. Gemelli", Rome, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Merli
authors.forename: Erika A
authors.initials: EA
authors.lastname: De Marco
authors.forename: Camilla
authors.initials: C
authors.lastname: Fedele
authors.forename: Elena J
authors.initials: EJ
authors.lastname: Mason
authors.forename: Alessandra
authors.initials: A
authors.lastname: Taddei
authors.forename: Filomena V
authors.initials: FV
authors.lastname: Paradiso
authors.forename: Vincenzo D
authors.initials: VD
authors.lastname: Catania
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Nanni
mesh_terms: D000293:Adolescent; D002648:Child; D015362:Child Nutrition Disorders / Q000601:surgery; D002675:Child, Preschool; D004435:Eating; D005260:Female; D018662:Fundoplication / Q000706:statistics & numerical data; D005773:Gastroscopy / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation / Q000706:statistics & numerical data; D013997:Time Factors