Comparación de la evolución clínica en pacientes pediátricos sometidos a gastrostomía percutánea endoscópica versus gastrostomía quirúrgica abierta atendidos en el Hospital de niños Dr. Roberto Gilbert Elizalde durante el periodo 2017-2019.

Abstract

Objective: To compare the clinical evolution in pediatric patients undergoing percutaneous endoscopic gastrostomy (PEG) versus open surgical gastrostomy treated at the Dr. Roberto Gilbert Elizalde Children's Hospital between January 2017 to December 2019. Methodology: It is a non-experimental research of a relational type and with a retrospective approach, for which a database of patients performed under the code of open surgical percutaneous endoscopic gastrostomy provided by the Statistics Department of the Hospital of Dr. Roberto Gilbert children, in which the numbers of the clinical records of all the patients that were evolved under said code were recorded, in the period from January 2017 to December 2019 Results: 43 patients were included, 28 were male, representing 65,1%, and 15 were female, representing 34.9% with a male to female ratio of 1.8 to 1. Neurological disease is the most frequent It was observed in 36 patients that represented 83.7%. The open surgical technique in our study presented 21 patients with major and minor complications out of a total of 31. The hospital stay does not exceed 5 days, compared to its surgical counterpart in which the stay can last up to 89 days. Conclusions: The most frequent surgical indication for gastrostomy is still neurological. BMI increases with both surgical techniques. Surgical complications were much more frequent in patients undergoing open surgical gastrostomy. PEG has a shorter hospital stay.