{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:26:11Z","timestamp":1791822371193,"version":"4.3.4"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Neurological impairment (NI) is responsible for most conditions that require a permanent gastrostomy tube. The present study assessed the occurrence of short\u2010 and long\u2010term complications after video\u2010assisted gastrostomy (VAG) in patients with NI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The incidence of short\u2010 (&lt;6\u2009months) and long\u2010term (over 2 years) complications of VAG were analyzed in a retrospective study. The differences between the incidence of the complications of VAG according to the age at surgery (\u226415\u2009years vs. \u226516 years) were also evaluated. The short\u2010 and long\u2010term complications observed were granulation tissue formation, infection requiring antibiotic treatment, skin problems, perigastrostomy leakage, vomiting, accidental tube dislodgement, dumping syndrome, ileus, and peritonitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010two patients were evaluated for short\u2010 and long\u2010term complications. The long\u2010term complication rate was significantly lower than the short\u2010term complication rate (<jats:italic>P<\/jats:italic> = 0.0026). Onodera\u2019s prognostic nutritional index before VAG in patients with long\u2010term complications was significantly lower than in patients without such complications (<jats:italic>P<\/jats:italic> = 0.046). The incidence of long\u2010term granulation tissue formation, infection, and vomiting were significantly lower than those of similar short\u2010term complications. Long\u2010term skin problems were associated with short\u2010term skin problems (odds ratio: 18.95; 95% confidence interval: 4.53\u201392.98; <jats:italic>P<\/jats:italic> &lt; 0.001). The number of patients \u226516\u2009years old with short\u2010 and long\u2010term skin problems was significantly higher than in patients \u226415\u2009years old (<jats:italic>P<\/jats:italic> = 0.0014 and <jats:italic>P<\/jats:italic> = 0.0073, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence rate of granulation tissue formation and infection after VAG were lower in the long term than in the short term. However, patients \u226516\u2009years old presented with persistent complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14645","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T06:57:55Z","timestamp":1612940275000},"page":"1357-1362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Complications in patients with neurological impairment after gastrostomy"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9162-6521","authenticated-orcid":false,"given":"Saki","family":"Sakamoto","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Hashizume","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suguru","family":"Fukahori","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Saikusa","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naruki","family":"Higashidate","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Aramaki","sequence":"additional","affiliation":[{"name":"Department of Pediatric National Hospital Organization Higashisaga Hospital Higashiomi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusaku","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Social Welfare Corporation Yukari\u2010Iryo\u2010Ryoiku Center Tosu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiko","family":"Takeshita","sequence":"additional","affiliation":[{"name":"Yanagawa Institute for Developmental Disabilities Yanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiaki","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"},{"name":"Division of Medical Safety Management Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yushiro","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Yagi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/507616"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)90312-X"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000310"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.181776"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198805000-00014"},{"key":"e_1_2_9_7_1","first-page":"871325","article-title":"Pre\u2010 and postoperative vomiting in children undergoing video\u2010assisted gastrostomy tube placement","volume":"2014","author":"Backman T","year":"2014","journal-title":"Surg. 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