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Review
. 2023 Sep 27;15(9):1871-1878.
doi: 10.4240/wjgs.v15.i9.1871.

Advances and challenges of gastrostomy insertion in children

Rana Bitar  1   2 , Amer Azaz  1   3 , David Rawat  4 , Mohamed Hobeldin  5 , Mohamad Miqdady  1   3 , Seifeleslam Abdelsalam  5
Affiliations
Review

Advances and challenges of gastrostomy insertion in children

Rana Bitar et al. World J Gastrointest Surg. .

Abstract

When oral feeding cannot provide adequate nutritional support to children, enteral tube feeding becomes a necessity. The overall aim is to ultimately promote appropriate growth, improve the patient's quality of life and increase carer satisfaction. Nasogastric tube feeding is considered appropriate on a short-term basis. Alternatively, gastrostomy feeding offers a more convenient and safer feeding option especially as it does not require frequent replacements, and carries a lower risk of complications. Gastrostomy tube feeding should be considered when nasogastric tube feeding is required for more than 2-3 wk as per the ESPEN guidelines on artificial enteral nutrition. Several techniques can be used to insert gastrostomies in children including endoscopic, image guided and surgical gastrostomy insertion whether open or laparoscopic. Each technique has its own advantages and disadvantages. The timing of gastrostomy insertion, device choice and method of insertion is dependent on the local expertise, patient requirements and family preference, and should be individualized with a multidisciplinary team approach. We aim to review gastrostomy insertion in children including indications, contraindications, history of gastrostomy, insertion techniques and complications.

Keywords: Laparoscopic gastrostomy; Laparoscopic-assisted gastrostomy; Laparoscopic-assisted percutaneous endoscopic gastrostomy; Open gastrostomy; Percutaneous endoscopic gastrostomy; Radiologic gastrostomy.

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Conflict of interest statement

Conflict-of-interest statement: There is no conflict of interest to declare.

Figures

Figure 1
Figure 1
Gastropexy of the stomach to the abdominal wall using three trans-gastric tuckers.
See this image and copyright information in PMC

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