Persistence of a Gastrocutaneous Fistula after gastrostomy removal in children: Incidence and predictive factors

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Ressource 1Download: BIB_2477FD8112C5.P001.pdf (223.66 [Ko])
State: Public
Version: After imprimatur
Serval ID
serval:BIB_2477FD8112C5
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Persistence of a Gastrocutaneous Fistula after gastrostomy removal in children: Incidence and predictive factors
Author(s)
Massy A.-S.
Director(s)
Reinberg O.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2012
Language
english
Number of pages
7
Abstract
Background/Purpose: The aims of this study were to determine the incidence of persistent gastrocutaneous fistulas (GCF) after gastrostomy removal and to identify associated risk factors.
Methods: This retrospective study included 75 children from the Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland who had a gastrostomy performed between 1988 and 2010. The records of the children were reviewed for sex, age at the time of gastrostomy removal, underlying disease, type of gastrostomy placement and length of use, and then analyzed in order to find a correlation between the GCF and these parameters.
Results: The gastrostomy orifice did not close spontaneously within the first month in 33 of the patients (44%), and 15 subsequently underwent surgical closure. The mean duration of gastrostomy use was significantly longer in children who developed a persistent GCF (30 vs. 19 months, P = 0.03). The other parameters studied did not show any significant association with the persistence of a GCF.
Conclusions: The only predictive factor determining the persistence of a GCF was found to be the timespan between the placement and removal of the gastrostomy appliance. Elective surgical closure of the gastrostomy orifice should be considered after 1 month of persistent GCF.
Keywords
Gastrostomy, children, gastric fistula
Create date
10/09/2013 10:27
Last modification date
20/08/2019 13:02
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