Gastrocutaneous fistula in children after removal of gastrostomy tube: Incidence and predictive factors
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Cited by (46)
Gastrocutaneous fistula: Laparoscopic resolution
2022, Revista de Gastroenterologia de MexicoPatient selection for pediatric gastrostomy tubes: Are we placing tubes that are not being used?
2022, Journal of Pediatric SurgeryCitation Excerpt :Open GT placement operations and younger age were significantly associated with the development of persistent gastrocutaneous fistula. Lastly, Gordon et al. found that the length of time the GT was in place was the most important factor predisposing children to gastrocutaneous fistulas, with 87% of patients with a GT in place for > 9 months requiring gastrocutaneous fistula closure, compared to only 6% of patients who had their GT removed within 8 months of insertion [20]. Shorter duration GTs have a lower risk of gastrocutaneous fistula development as there is less time for a gastrocutaneous fistula tract to epithelialize [9,20–23].
The PEET procedure: Punch Excision of Epithelialized Tracts for gastrocutaneous fistula closure
2021, Journal of Pediatric SurgeryCitation Excerpt :Additionally, younger pediatric patients and patients undergoing other concurrent operations such as Nissen fundoplication have been found to develop persistent GCF at higher rates [3]. Further, numerous studies have found that longer elapsed time between gastrostomy tube placement and removal appears to be a key factor in development of persistent GCF [3,17,19,20]. Traditional surgical approach for managing persistent GCF involved traditional layered closure technique involving perioperative antibiotics, general anesthesia and a hospital length of stay between three and five days, also involving nasogastric tube (NGT) decompression and postoperative fasting [21].
Aspiration Therapy
2020, Techniques in Vascular and Interventional RadiologyCitation Excerpt :Gastrocutaneous fistulas typically occur when the A-Tube has been removed after a prolonged indwelling period of a year or more. Patients should be counseled on this risk prior to A-Tube placement, and it is our practice to discuss this again with the small number of patients who are not successful with weight loss using aspiration therapy in the first 6-12 months of therapy, as early removal will reduce the risk of a chronic gastrocutaneous fistula.12 Of note, there have been no reported deaths up to the time of this writing with A-Tube placement.
An unusual presentation of gastric fistula following peptic perforation repair: A case report
2019, International Journal of Surgery Case ReportsCitation Excerpt :Here delayed suture line leak results in fistulas. They have also been reported following removal of gastrostomy tubes [6]. The diagnosis of gastric fistula is a challenging task.
Outpatient curettage and electrocautery as an alternative to primary surgical closure for pediatric gastrocutaneous fistulae
2018, Journal of Surgical ResearchCitation Excerpt :Placement and maintenance of a gastrostomy tube has a wide range of complications, with major complications reportedly occurring 2%-9% of the time and minor complications occurring 2%-60% of the time.2-5 One such complication is the persistence of a gastrocutaneous fistula (GCF) after removal of a gastrostomy tube; this occurs in 5% to 45% of pediatric patients.6-11 Conservative therapy with chemical cauterization of the tract with silver nitrate, reduction of acidic reflux with proton-pump inhibitors, and the use of prokinetic agents to promote rapid gastric emptying are frequently attempted with varying degrees of success.12-14