CAPS PaperA systematic review and meta-analysis of gastrostomy insertion techniques in children
Section snippets
Guideline
The PRISMA statement, checklist and flowchart were referenced to achieve the highest standard in reporting items for a systematic review and meta-analysis [18], [19].
Literature search
A systematic search of electronic databases was performed to identify all relevant studies comparing two or more gastrostomy insertion techniques in children reporting procedural-related complication rates. A reference librarian was consulted to assist with the development of database-specific search strategies. We used exploded
Description of identified studies
The search strategy for the review resulted in 22 studies meeting inclusion criteria, with 5346 participants overall (Table 1) [3], [11], [15], [16], [17], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37]. The results of the search strategy are detailed in Fig. 1. Of the 22 studies identified, the median MINORS score of all studies was 14 (range 10–16), max = 24.
Three studies identified compared three or more techniques (Conlon et al. [16],
Discussion
Gastrostomy tube placement remains a highly popular intervention with a number of indications, in both adult and pediatric populations. Since initially introduced in 1986 as an open surgical approach, it has evolved into a procedure performed using multiple different techniques by several different operators, including surgeons, gastrointestinal endoscopists and interventional radiologists. Over the past 30 years, outcomes following gastrostomy tube placement have been extensively investigated,
Acknowledgements
We would like to thank Robin Featherstone from the McGill Faculty of Medicine Library for her assistance with the literature search and the retrieval of articles.
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