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Suksamanapun N, Mauritz FA, Franken J, et al. Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis. J Minim Access Surg. 2017;13(2):81-88doi: 10.4103/0972-9941.181776.
Suksamanapun, N., Mauritz, F. A., Franken, J., van der Zee, D. C., & van Herwaarden-Lindeboom, M. Y. (2017). Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis. Journal of minimal access surgery, 13(2), 81-88. https://doi.org/10.4103/0972-9941.181776
Suksamanapun, Nutnicha, et al. "Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis." Journal of minimal access surgery vol. 13,2 (2017): 81-88. doi: https://doi.org/10.4103/0972-9941.181776
Suksamanapun N, Mauritz FA, Franken J, van der Zee DC, van Herwaarden-Lindeboom MY. Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis. J Minim Access Surg. 2017 Apr-Jun;13(2):81-88. doi: 10.4103/0972-9941.181776. PMID: 27251841; PMCID: PMC5363129.
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J Minim Access Surg. 2017 Apr-Jun;13(2):81-88. doi: 10.4103/0972-9941.181776.

Laparoscopic versus percutaneous endoscopic gastrostomy placement in children: Results of a systematic review and meta-analysis.

Journal of minimal access surgery

Nutnicha Suksamanapun, Femke A Mauritz, Josephine Franken, David C van der Zee, Maud Ya van Herwaarden-Lindeboom

Affiliations

  1. Department of Pediatric Surgery, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
  2. Department of Pediatric Surgery, Wilhelmina Children's Hospital; Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands.

PMID: 27251841 PMCID: PMC5363129 DOI: 10.4103/0972-9941.181776

Abstract

BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) and laparoscopic-assisted gastrostomy (LAG) are widely used in the paediatric population. The aim of this study was to determine which one of the two procedures is the most effective and safe method.

METHODS: This systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses statement. Primary outcomes were success rate, efficacy of feeding, quality of life, gastroesophageal reflux and post-operative complications.

RESULTS: Five retrospective studies, comparing 550 PEG to 483 LAG placements in children, were identified after screening 2347 articles. The completion rate was similar for both procedures. PEG was associated with significantly more adjacent bowel injuries (P = 0.047), early tube dislodgements (P = 0.02) and complications that require reintervention under general anaesthesia (P < 0.001). Minor complications were equally frequent after both procedures.

CONCLUSIONS: Because of the lack of well-designed studies, we have to be cautious in making definitive conclusions comparing PEG to LAG. To decide which type of gastrostomy placement is best practice in paediatric patients, randomised controlled trials comparing PEG to LAG are highly warranted.

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