WOFAPS 2025 8th World Congress of Pediatric Surgery

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Poster - 129

GASTROSTOMY IN CHILDREN WITH SEVERE NERVOUS SYSTEM DAMAGE AND SKELETAL DEFORMITY

Sergey Minaev 1, Igor Gerasimenko 1, Igor Kirgizov 2, Andrey Puchkov 1, Nikolay Bykov 1, Roman Sholom 1
1 Stavropol State Medical University
2 Russian Medical Academy of Continuing Professional Education

Gastrostomy is necessary for children with spinal muscular atrophy, with organic damage to the central nervous system, or with obstruction of the esophagus, and patients after serious injuries requiring long-term tube feeding.

Objective of the study: To evaluate the effectiveness of percutaneous endoscopic gastrostomy with laparoscopic control in children with severe damage to the nervous system and skeletal deformity.

From 01.01.2023 to 01.10.2024, gastrostomy was applied to 54 children, ages 1 to 18. The indication was palliative care for children with organic damage to the central nervous system. Puncture gastrostomy with laparoscopic control was performed.

Within 2 years of introducing percutaneous endoscopic gastrostomy with laparoscopic control into practice at our hospital, the number of patients increased more than fivefold. The only complication in 1 (1.8%) case was "bumper syndrome."

Percutaneous endoscopic gastrostomy with laparoscopic control is the most optimal method of choice of treatment in a group of children with severe neurological status and bone deformities. Adding laparoscopic support to percutaneous endoscopic gastrostomy provides reasonable control and makes the intervention safer for the patient.

Keywords: Percutaneous endoscopic gastrostomy, bumper syndrome, organic damage to the central nervous system, children

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