Abstract
A gastrostomy device is removed from the gastrostoma when no longer needed. The aim of the study was to test the hypothesis of whether it is possible for the surgeon to decide which stoma has to be closed with a gastroraphy and which to leave for a spontaneous closure within a reasonable period of time. Out of a cohort of 321 patients, who had been operated with a video-assisted gastrostomy, we included all the 48 patients having had their gastrostomy button removed. These patients were carefully followed and the closure of the gastrostoma was registered. According to the institutional routine we waited at least 3 months after the removal of the gastrostomy device before suggesting to the child’s guardians an operative closure of the stoma. In 26 patients the stoma closed within 3 months, whereas in 22 patients a surgical gastroraphy was performed. We found no differences between the two groups regarding the patients’ diagnoses, the duration of the gastrostoma use or patient’s age at the time of removal of the gastrostomy device. This study rejected the hypothesis of predictability of the gastrostoma closure. Thus, we recommend a routine expectance after the removal of a gastrostomy device for at least 1 month. If no spontaneous closure occurs, then a gastroraphy should be performed.
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References
Andersson L, Mikaelsson C, Arnbjornsson E, Larsson LT (1997) Laparoscopy aided gastrostomy in children. Ann Chir Gynaecol 86:19–22
Mikaelsson C, Arnbjornsson E, Larsson LT (1995) The laparoscopy button. A new method with minimal surgical trauma in gastrostomy in children. Lakartidningen 92:3237–3238
Gauderer MW, Ponsky JL, Izant RJ Jr (1998) Gastrostomy without laparotomy: a percutaneous endoscopic technique. Nutrition 14:736–738
Patwardhan N, McHugh K, Drake D, Spitz L (2004) Gastroenteric fistula complicating percutaneous endoscopic gastrostomy. J Pediatr Surg 39:561–564
Arnbjornsson E, Larsson LT, Lindhagen T (1999) Complications of laparoscopy-aided gastrostomies in pediatric practice. J Pediatr Surg 34:1843–1846
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Arnbjörnsson, E., Backman, T., Berglund, Y. et al. Closure after gastrostomy button. Ped Surgery Int 21, 797–799 (2005). https://doi.org/10.1007/s00383-005-1549-8
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DOI: https://doi.org/10.1007/s00383-005-1549-8