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Percutaneous gastrojejunostomy in children: efficacy and safety.
Arch Dis Child. 2012 Aug; 97(8):733-4.AD

Abstract

Transgastric jejunal intubation via gastrostomy (GJ) can be indicated when enteral nutrition via gastrostomy is not possible. Between 2001 and 2008, the authors prospectively assessed the outcomes in 29 patients (median age, 10 months) after GJ. Indications for jejunal feeding were severe gastro-oesophageal reflux (n=27) and intestinal dysmotility (n=2). The GJ was successfully placed in 27/29 patients. Complications were: 31 tube dislodgements, 16 obstructions, 7 leakages around the tube, 6 internal balloon ruptures and 1 intussusception. The median lifetime of the tube was 3 months. 9/27 patients died during the study period, 11 patients required surgery, 2 required parenteral nutrition, gastric feeding became tolerated in 3 and the gastrojejunal feeding tube was kept in place in the remaining 2. A transgastric jejunal feeding tube may constitute a transitory alternative to antireflux surgery or prolonged parenteral nutrition. However, the high frequency of complications and tube replacement limits its use.

Authors+Show Affiliations

Department of Pediatrics, Jeanne de Flandre Children's Hospital and Faculty of Medicine, University Lille2, Avenue Eugène Avinée, 59037 Lille, France. laurent.michaud@chru-lille.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22504731

Citation

Michaud, Laurent, et al. "Percutaneous Gastrojejunostomy in Children: Efficacy and Safety." Archives of Disease in Childhood, vol. 97, no. 8, 2012, pp. 733-4.
Michaud L, Coopman S, Guimber D, et al. Percutaneous gastrojejunostomy in children: efficacy and safety. Arch Dis Child. 2012;97(8):733-4.
Michaud, L., Coopman, S., Guimber, D., Sfeir, R., Turck, D., & Gottrand, F. (2012). Percutaneous gastrojejunostomy in children: efficacy and safety. Archives of Disease in Childhood, 97(8), 733-4. https://doi.org/10.1136/archdischild-2011-300653
Michaud L, et al. Percutaneous Gastrojejunostomy in Children: Efficacy and Safety. Arch Dis Child. 2012;97(8):733-4. PubMed PMID: 22504731.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous gastrojejunostomy in children: efficacy and safety. AU - Michaud,Laurent, AU - Coopman,Stéphanie, AU - Guimber,Dominique, AU - Sfeir,Rony, AU - Turck,Dominique, AU - Gottrand,Frédéric, Y1 - 2012/04/13/ PY - 2012/4/17/entrez PY - 2012/4/17/pubmed PY - 2012/10/19/medline SP - 733 EP - 4 JF - Archives of disease in childhood JO - Arch Dis Child VL - 97 IS - 8 N2 - Transgastric jejunal intubation via gastrostomy (GJ) can be indicated when enteral nutrition via gastrostomy is not possible. Between 2001 and 2008, the authors prospectively assessed the outcomes in 29 patients (median age, 10 months) after GJ. Indications for jejunal feeding were severe gastro-oesophageal reflux (n=27) and intestinal dysmotility (n=2). The GJ was successfully placed in 27/29 patients. Complications were: 31 tube dislodgements, 16 obstructions, 7 leakages around the tube, 6 internal balloon ruptures and 1 intussusception. The median lifetime of the tube was 3 months. 9/27 patients died during the study period, 11 patients required surgery, 2 required parenteral nutrition, gastric feeding became tolerated in 3 and the gastrojejunal feeding tube was kept in place in the remaining 2. A transgastric jejunal feeding tube may constitute a transitory alternative to antireflux surgery or prolonged parenteral nutrition. However, the high frequency of complications and tube replacement limits its use. SN - 1468-2044 UR - https://www.unboundmedicine.com/medline/citation/22504731/Percutaneous_gastrojejunostomy_in_children:_efficacy_and_safety_ L2 - https://adc.bmj.com/lookup/pmidlookup?view=long&pmid=22504731 DB - PRIME DP - Unbound Medicine ER -