Retrograde percutaneous gastrostomy and gastrojejunostomy in 505 children: a 4 1/2-year experience.

Abstract

Percutaneous retrograde placement of gastrostomy or gastrojejunostomy tubes safely and effectively provides long-term nutrition for children. A team approach is essential to provide service to this cumulative population.

Risk of Ventriculoperitoneal Shunt Infections due to Gastrostomy Feeding Tube Insertion in Pediatric Patients with Brain Tumors

“…A single dose of cefazolin was administered with insertion. This technique has been in use without any substantial change for many years [11]. GTs were inserted when patients were well and not neutropenic.…”

Experience with image‐guided gastrostomy and gastrojejunostomy tubes in children and adolescents with primary psychiatric illness

“…A standard technique for image-guided percutaneous retrograde G tube insertion is employed. 11 Briefly, the liver and spleen are marked out on the abdominal wall using ultrasound and the colon is outlined by dilute barium, given rectally. The stomach is inflated with air and once distended, a route is chosen for puncture and local anesthetic is injected around the chosen puncture site.…”

Characteristics and outcomes of children with enterostomy feeding tubes: A study of 325 children

“…Indications for the insertion of G and G-J tubes in infants and young children under radiological guidance have been described previously (9,10). The present paper is the first to describe nutritional and oral motor characteristics of infants before the insertion of enteral feeding tubes, and outcomes with respect to nutritional status and tube removal.…”

“…CONCLUSION : Les enfants atteints de paralysie cérébrale ne sont pas susceptibles de faire retirer leur sonde dans l'année suivant l'insertion. G astrostomy (G) and gastrojejunostomy (G-J) tubes are used increasingly for infants who have a functional gastrointestinal tract but cannot swallow safely, refuse to eat or are expected to require tube feeding for more than two months (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). The chronic medical problems that are most often associated with the use of tube feeding include neurological problems (in 31.5% to 39.4% of children), lung disease (in 10.1% to 12.2% of children) and gastrointestinal disease (in 8.8% to 14.4% of children) (9,10).…”

“…Although short and long term medical, behavioural and socioemotional complications are well documented, the 'natural history' of tube feeding and factors associated with tube removal have not been examined previously (5,(9)(10)(11)(12)(14)(15)(16)(17)(18)(19)(20)(21)(22). The purpose of the present study was to examine the characteristics and outcomes of infants with G and G-J tubes that were inserted before age three years, to determine the factors that predict removal versus continued dependence on enteral feeding tubes, and to determine those factors that predict early removal of the tubes (less than 12 months after insertion) versus late removal (at least 12 months after tube insertion).…”