The Usefulness of the Upper Gastrointestinal Series in the Pediatric Patient Before Anti-Reflux Procedure or Gastrostomy Tube Placement

Cuenca, Alex G.; Reddy, Sathavaram V.; Dickie, Belinda; Kays, David W.; Islam, Saleem

doi:10.1016/j.jss.2011.03.007

Cited by 22 publications

(12 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This rate is consistent with what we would expect in the population, as well as previously published data. 1,4,6,10 Second, even without preoperative UGI, the presence of malrotation can be evaluated or confirmed intraoperatively by identifying the ligament of Treitz and if needed can be addressed with a Ladd procedure at that time. Such was the case with the two children in our series who had an anatomic abnormality noted on UGI.…”

Section: Discussionmentioning

confidence: 99%

“…symptomatic malrotation is 1 in 6,000 live births, 5 and the predictive value of UGI in identifying clinical reflux is low compared with other studies. 6,7 Further, many believe that operative antireflux procedures, such as Nissen fundoplication, should primarily be used in cases of severe GER disease (GERD), after a child has failed medical management. 8 We hypothesized that the presence of reflux on the UGI contrast study is not associated with the need for an antireflux procedure, and that routine UGI contrast study does not change management before GT placement in infants and children.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Is Routine Upper Gastrointestinal Contrast Study Necessary prior to Laparoscopic Gastrostomy Tube Placement in Children?

Acker¹,

Trinh²,

Partrick

et al. 2015

Eur J Pediatr Surg

View full text Add to dashboard Cite

We found that in children undergoing routine preoperative UGI before GT placement (1) the risk of malrotation is less than 1%; (2) the decision to perform an antireflux procedure weakly correlates with the UGI findings of GER; and (3) one in five patients without radiographic GER still underwent concomitant fundoplication with or without confirmatory pH probe study. We conclude that the practice of routine UGI before laparoscopic gastrostomy placement in children is likely unnecessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Is Routine Upper Gastrointestinal Contrast Study Necessary prior to Laparoscopic Gastrostomy Tube Placement in Children?

Acker¹,

Trinh²,

Partrick

et al. 2015

Eur J Pediatr Surg

View full text Add to dashboard Cite

show abstract

“…Radiological evaluation was used the most frequently (30% of the patients) and was often performed together with scintigraphy or pH-metry ( Figure 3 ). In the study by Cuenca et al , 22 the upper GI series was conducted in 71% of children who qualified for gastrostomy and AR. The results of radiology were abnormal in 37% of the participants; the most frequently diagnosed pathologies included GER (80%) and anatomical abnormalities (6%).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of gastroesophageal reflux and anti-reflux procedures among polish children with gastrostomies: a 10-year nationwide analysis

et al. 2013

View full text Add to dashboard Cite

Background/Objectives:To analyse the approach to diagnose gastroesophageal reflux (GER) and the qualification criteria for anti-reflux (AR) procedures in Polish children fed via gastrostomy between 2000 and 2010.Subjects/Methods:An electronic questionnaire containing questions on the demographic and clinical data of patients with gastrostomies was distributed to six Polish centres of nutritional therapy. The portion pertaining to GER included data on clinical exponents, diagnostic procedures (pH-metry, pH-impedance, scintigraphy and upper gastrointestinal (GI) series) and AR.Results:In total, 348 children (M199/F149; age at gastrostomy 5.78±5.49 years) were included. Data on the diagnosis of GER and the AR criteria were available for 343 and 336 subjects, respectively. Percutaneous endoscopic gastrostomy was performed in 258/348 patients (74.1%), while surgery was performed in 80/348 patients (23%). The data from 10/348 (2.9%) cases were unavailable. At least one of the tests for GER was conducted in 177/343 (51.6%) of patients: pH-metry in 74/343 (21.6%), pH-impedance in 17/343 (5.0%), scintigraphy in 60/343 (17.5%) and upper GI series in 102/343 (29.7%). GER was reported in 114/343 cases (33.2%), and fundoplication was performed in 87 children (76.3% of patients with GER). The highest congruence between a positive test result and the decision to perform fundoplication was documented in cases of scintigraphy and upper GI series (P=0.00000 and P=0.00191, respectively). A significant increase in the prevalence of simultaneous gastrostomy and AR was observed over the decade analysed (r=0.8, P=0.009). This study revealed a centre-specific attitude towards the diagnosis of GER and the assessment of qualifications for fundoplication in Polish gastrostomy-fed children.Conclusions:The unified diagnostic algorithm of GER and the universal qualification criteria for AR procedures need to be defined for gastrostomy-fed children.

show abstract

“…A combined laparoscopic‐assisted PEG insertion (LAPEG) uses both the endoscopic and laparoscopic approaches 54 . This approach enables the proceduralist to place a low‐profile G tube (the outer bumper at skin level, often called a button) initially without the need to exchange an original high‐profile G tube (an actual tube protrudes externally above skin level and is kept in place with an adjustable sliding disk or bolster) into a low‐profile G tube at a later stage 54 . Short‐term complications tend to be lower with the T‐fastener gastropexy technique compared with the pull techniques 55 , 56 …”

Section: Long‐term Eadsmentioning

confidence: 99%

Pediatric Enteral Access Device Management

2016

View full text Add to dashboard Cite

Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity. Complication management requires a tiered approach starting with staff nurses and ending with a physician expert. In addition to this, each institution needs to have an approach that is coordinated among disciplines and departments to promote consistency of practice. The formation of an enteral access team is a conduit for clinical experts to provide education to families, patients, and healthcare professionals while serving as a platform to address product and practice issues.

show abstract

The Usefulness of the Upper Gastrointestinal Series in the Pediatric Patient Before Anti-Reflux Procedure or Gastrostomy Tube Placement

Cited by 22 publications

References 11 publications

Is Routine Upper Gastrointestinal Contrast Study Necessary prior to Laparoscopic Gastrostomy Tube Placement in Children?

Is Routine Upper Gastrointestinal Contrast Study Necessary prior to Laparoscopic Gastrostomy Tube Placement in Children?

Diagnosis of gastroesophageal reflux and anti-reflux procedures among polish children with gastrostomies: a 10-year nationwide analysis

Pediatric Enteral Access Device Management

Contact Info

Product

Resources

About