Pediatric laparoscopic versus percutaneous gastrostomy tube placement: a single-center review
Topic overview
This retrospective study compares laparoscopic versus percutaneous endoscopic gastrostomy tube placement in 688 pediatric patients. While major complication rates were similar, PEG patients experienced more skin infections and required significantly more anesthesia exposures, primarily for button conversions.
Key takeaways
- Laparoscopic GT placement requires fewer anesthesia exposures than PEG (93.6% single event vs 60.5% needing >2 events for PEG-to-button conversion).
- PEG tubes have higher rates of skin erythema and local infection compared to laparoscopic placement (p=0.006).
- Major complication rates are similar between laparoscopic (1.3%) and PEG (2.4%) techniques in pediatric patients.
- PEG patients more often require subsequent procedures like GT revision or conversion to gastro-jejunostomy tube (10.9% vs 6.5%).
- Despite more anesthesia events, PEG has slightly lower median total anesthesia time (75 min vs 79 min, p=0.002).
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How to cite: GlobalCastMD. Pediatric laparoscopic versus percutaneous gastrostomy tube placement: a single-center review. GlobalCastMD Medical Library. 2024-12-12. https://dev.library.globalcastmd.com/article/9523?via_space=staycurrentmd
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