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Purpose <p>Laparoscopic-assisted primary gastrostomy button (PGB) insertion is a minimally invasive procedure increasingly used for providing enteral access in paediatric patients with complex comorbidities. This study aimed to review the short and long-term outcomes of all patients who underwent a PGB insertion at our institution.</p> Methods <p>We performed a retrospective review of all patients who underwent laparoscopic-assisted PGB insertion from January 2017 to December 2023 including. Outcome measures were indications for gastrostomy insertion, length of hospital stay (LOS), postoperative complications, and the need for re-admission. Data are shown as median values.</p> Results <p>The study included 149 patients with a median age of 3&#xa0;years. The most common indications for a gastrostomy insertion were faltering growth (69/149, 46%) and unsafe swallow (46/149, 32%). All procedures were done laparoscopically, there were no conversions. LOS was 2&#xa0;days [1 to 388&#xa0;days]. Postoperative complications occurred in 25/149 patients (16.8%). One patient required reoperation 2&#xa0;days postoperatively due to posterior gastric wall perforation. Further complications were: granuloma formation (11/149, 7.4%), bleeding from the wound site (3/149, 2.0%), and wound infection (2/149, 1.3%). 6/149 patients (4%) had a dislodged gastrostomy button, within the first 6&#xa0;weeks post-operatively. 2/149 (1.3%) required re-admission for medical reasons.</p> Conclusion <p>Laparoscopic-assisted PGB insertion is a safe and effective procedure in complex paediatric patients, with a low complication rate and short in-hospital stay. Further studies are needed to compare this procedure with other insertion techniques and establish standardized protocols.</p>

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Laparoscopic-assisted primary gastrostomy button insertion in paediatric patients over a 7-year period: a single centre experience

  • 期刊论文

  • 发表日期：

    2025年3月7日

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  • Gabriella Gauci,
  • Khin Than,
  • Selena Curkovic,
  • Ceri Jones,
  • Annita Budzanowski

摘要

Purpose

Laparoscopic-assisted primary gastrostomy button (PGB) insertion is a minimally invasive procedure increasingly used for providing enteral access in paediatric patients with complex comorbidities. This study aimed to review the short and long-term outcomes of all patients who underwent a PGB insertion at our institution.

Methods

We performed a retrospective review of all patients who underwent laparoscopic-assisted PGB insertion from January 2017 to December 2023 including. Outcome measures were indications for gastrostomy insertion, length of hospital stay (LOS), postoperative complications, and the need for re-admission. Data are shown as median values.

Results

The study included 149 patients with a median age of 3 years. The most common indications for a gastrostomy insertion were faltering growth (69/149, 46%) and unsafe swallow (46/149, 32%). All procedures were done laparoscopically, there were no conversions. LOS was 2 days [1 to 388 days]. Postoperative complications occurred in 25/149 patients (16.8%). One patient required reoperation 2 days postoperatively due to posterior gastric wall perforation. Further complications were: granuloma formation (11/149, 7.4%), bleeding from the wound site (3/149, 2.0%), and wound infection (2/149, 1.3%). 6/149 patients (4%) had a dislodged gastrostomy button, within the first 6 weeks post-operatively. 2/149 (1.3%) required re-admission for medical reasons.

Conclusion

Laparoscopic-assisted PGB insertion is a safe and effective procedure in complex paediatric patients, with a low complication rate and short in-hospital stay. Further studies are needed to compare this procedure with other insertion techniques and establish standardized protocols.