Journal of Minimal Access Surgery

META-ANALYSIS
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Year : 2017  |  Volume : 13  |  Issue : 2  |  Page : 81--88

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

Nutnicha Suksamanapun1, Femke A Mauritz2, Josephine Franken1, David C van der Zee1, Maud YA van Herwaarden-Lindeboom1 
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

Correspondence Address:
Maud YA van Herwaarden-Lindeboom
Wilhelmina Children's Hospital, University Medical Centre, Heidelberglaan 100, 3584 CX Utrecht, Room: KE. 04.140.5
The Netherlands

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.


How to cite this article:
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 Min Access Surg 2017;13:81-88


How to cite this URL:
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 Min Access Surg [serial online] 2017 [cited 2017 Apr 29 ];13:81-88
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=2;spage=81;epage=88;aulast=Suksamanapun;type=0