Gastrojejunal feeding tube use by gastroenterologists in a pediatric academic center.
J Pediatr Gastroenterol Nutr
; 56(5): 523-7, 2013 May.
Article
in En
| MEDLINE
| ID: mdl-23254445
ABSTRACT
BACKGROUND AND OBJECTIVES:
Enteral feeding through gastrojejunal (GJ) tubes is an established method of nutrition for patients with feeding difficulty who do not tolerate intragastric feedings. The pediatric literature about the long-term outcome, safety, and complications of different GJ tubes and placement methods is lacking. Our study aims to provide information about indications, techniques, and long-term outcome of GJ tube use in children.METHODS:
Retrospective chart review for GJ tube placement procedures was used at our center for 10 years (1999-2009). Data collected included demographics, placement indications, underlying diagnosis, tube type, placement methods, complications, tube survival, and patient outcome.RESULTS:
Thirty-three patients using GJ tubes were identified, with a total of 160 successful procedures documented (overall success rate of 97.6%). At initial placement, the mean age was 6 years (range 0.6-21.6) and the mean weight was 19.4 kg (range 6.6-72.2). Patients had a mean of 4.9 tubes placed per patient (range 1-20) during a follow-up of 26.8 months (range 0.4-115.3). The most common indications for replacement included accidental dislodgement, tube obstruction, coiling back into the stomach, and broken tube component. At the end of the study, 39% continued using GJ tubes, 30% were transitioned back to gastrostomy or oral feeds, and 15% underwent a surgical intervention.CONCLUSIONS:
Long-term GJ tube use is possible and safe in children. Various feeding tubes and placement methods can be used by pediatric gastroenterologists to provide long-term jejunal feeds in children.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Jejunostomy
/
Enteral Nutrition
/
Intubation, Gastrointestinal
Type of study:
Etiology_studies
/
Observational_studies
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
En
Journal:
J Pediatr Gastroenterol Nutr
Year:
2013
Document type:
Article
Affiliation country:
United States