Surgical jejunostomy and radiological gastro-jejunostomy tube feeding in children: risks, benefits and nutritional outcomes.

Autor: Singh RR; Department of Paediatric Surgery, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK. rashmi.singh@ucl.ac.uk., Eaton S; Department of Paediatric Surgery, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK., Roebuck DJ; Department of Radiology, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK., Barnacle AM; Department of Radiology, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK., Chippington S; Department of Radiology, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK., Cross KMK; Department of Paediatric Surgery, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK., De Coppi P; Department of Paediatric Surgery, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK., Curry JI; Department of Paediatric Surgery, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital for Children, London, UK.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2018 Sep; Vol. 34 (9), pp. 951-956. Date of Electronic Publication: 2018 Jul 16.
DOI: 10.1007/s00383-018-4303-8
Abstrakt: Purpose: Radiologically inserted gastrojejunal tubes (RGJ) and surgical jejunostomy (SJ) are established modes of jejunal feeding. The aim of the study is to review nutritional outcomes, complications and the practical consideration to enable patients and carers to make informed choice.
Methods: Retrospective review of patient notes with a RGJ or SJ in 2010, with detailed follow-up and review of the literature.
Results: Both RGJ and SJ are reliable modes to provide stable enteral nutrition. Both have complications and their own associated limitations.
Conclusions: The choice has to be tailored to the individual patient, the social care available, the inherent medical disease and risk/benefit of repeated anaesthetic and radiation exposure. RGJ and SJ are important tools for nutritional management that achieve and maintain growth in a complex group of children. The risk and benefits should be reviewed for each individual patient.
Databáze: MEDLINE
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