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- Title
Complications in patients with neurological impairment after gastrostomy.
- Authors
Sakamoto, Saki; Hashizume, Naoki; Fukahori, Suguru; Ishii, Shinji; Saikusa, Nobuyuki; Higashidate, Naruki; Aramaki, Shuichi; Matsuo, Yusaku; Takeshita, Eiko; Tanaka, Yoshiaki; Yamashita, Yushiro; Yagi, Minoru
- Abstract
Background: Neurological impairment (NI) is responsible for most conditions that require a permanent gastrostomy tube. The present study assessed the occurrence of short‐ and long‐term complications after video‐assisted gastrostomy (VAG) in patients with NI. Methods: The incidence of short‐ (<6 months) and long‐term (over 2 years) complications of VAG were analyzed in a retrospective study. The differences between the incidence of the complications of VAG according to the age at surgery (≤15 years vs. ≥16 years) were also evaluated. The short‐ and long‐term complications observed were granulation tissue formation, infection requiring antibiotic treatment, skin problems, perigastrostomy leakage, vomiting, accidental tube dislodgement, dumping syndrome, ileus, and peritonitis. Results: Eighty‐two patients were evaluated for short‐ and long‐term complications. The long‐term complication rate was significantly lower than the short‐term complication rate (P = 0.0026). Onodera's prognostic nutritional index before VAG in patients with long‐term complications was significantly lower than in patients without such complications (P = 0.046). The incidence of long‐term granulation tissue formation, infection, and vomiting were significantly lower than those of similar short‐term complications. Long‐term skin problems were associated with short‐term skin problems (odds ratio: 18.95; 95% confidence interval: 4.53–92.98; P < 0.001). The number of patients ≥16 years old with short‐ and long‐term skin problems was significantly higher than in patients ≤15 years old (P = 0.0014 and P = 0.0073, respectively). Conclusions: The incidence rate of granulation tissue formation and infection after VAG were lower in the long term than in the short term. However, patients ≥16 years old presented with persistent complications.
- Subjects
NEUROLOGICAL disorders; CONFIDENCE intervals; SURGICAL complications; RETROSPECTIVE studies; DESCRIPTIVE statistics; GRANULATION tissue; GASTROSTOMY; ODDS ratio; NUTRITIONAL status
- Publication
Pediatrics International, 2021, Vol 63, Issue 11, p1357
- ISSN
1328-8067
- Publication type
Article
- DOI
10.1111/ped.14645