Laparoscopic technique to perform a true Stamm gastrostomy in children.

Détails

ID Serval
serval:BIB_F7580ADAF18E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Laparoscopic technique to perform a true Stamm gastrostomy in children.
Périodique
Journal of Pediatric Surgery
Auteur(s)
Vasseur Maurer S., Reinberg O.
ISSN
1531-5037 (Electronic)
ISSN-L
0022-3468
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
50
Numéro
10
Pages
1797-1800
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
PURPOSE: A surgical gastrostomy is mandatory in cases where a PEG is not feasible. Various minimally invasive techniques have been described, but many involve unusable materials in small children and/or have risk of disunion. We describe a technique for true Stamm gastrostomy performed by laparoscopy (LSG) with a purse string suture and four points of attachment onto the wall.
METHOD: We reviewed 20 children who underwent an LSG from 2010 to 2013. After incision of the skin at the location planned for the gastrostomy, using three 3-5mm ports the stomach is fixed to the wall by three suspension stitches, which are entered and then emerged subcutaneously. A fourth stitch of attachment is used to make an award on the stomach and tie around the gastrostomy tube.
RESULTS: Mean age was 4.2 years, with 70% aged <2 years. All children were malnourished, most often severely. All but two underwent a concomitant fundoplication. Feeding through the gastrostomy started on D0 or D1. Total feeding by gastrostomy was achieved in a mean duration of 2.9 day. Mean hospital stay was 4.5 days. There was no perioperative complication. Mean follow-up was 14 months. Once, the balloon was accidently deflated and reinflated in the wall leading to its necrosis. Five peristomial granulomas were noticed. It was always possible to replace the tube by a gastrostomy device at least 6 weeks after surgery.
CONCLUSION: This new technique for true Stamm gastrostomy by laparoscopy reproduces exactly the one done by laparotomy, without special equipment. It can be made since the neonatal period, in all the circumstances when a laparoscopy is possible.
Mots-clé
Adolescent, Child, Child, Preschool, Enteral Nutrition, Fundoplication, Gastrostomy/adverse effects, Gastrostomy/instrumentation, Granuloma/etiology, Humans, Infant, Laparoscopy/adverse effects, Laparoscopy/instrumentation, Length of Stay, Necrosis/etiology, Stomach/pathology, Stomach Diseases/etiology, Suture Techniques
Pubmed
Web of science
Création de la notice
17/11/2015 18:36
Dernière modification de la notice
03/03/2018 22:49
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