Efficacy and safety of radiologically placed gastrostomy tubes in paediatric haematology/oncology patients
| Autor: | Mark T. Greenberg, B Connolly, E F Saunders, D S Duncan, P Chait, G J Green, M A Barron, D Modrusan |
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| Rok vydání: | 2000 |
| Předmět: |
Cancer Research
medicine.medical_specialty education.field_of_study business.industry medicine.medical_treatment Population Peritonitis medicine.disease Gastrostomy Surgery Abdominal wall Parenteral nutrition medicine.anatomical_structure Oncology Weight loss Pediatrics Perinatology and Child Health medicine medicine.symptom education Complication business Weight gain |
| Zdroj: | Medical and Pediatric Oncology. 34:177-182 |
| ISSN: | 1096-911X 0098-1532 |
| DOI: | 10.1002/(sici)1096-911x(200003)34:3<177::aid-mpo3>3.0.co;2-g |
| Popis: | Background The treatment of malnutrition, which is of great concern in paediatric haematology/oncology patients, is fraught with problems. The goals of our study were to document the complications and assess the weight gain with gastrostomy tubes (G-tubes) in this population. Procedure Patient data were acquired by retrospective review of all haematology, oncology, and bone marrow transplant (BMT) patients (n = 44) who received radiologically placed G-tubes at our institution over a 4-year period. Results Forty-four G-tubes were placed (59% peri-BMT). At tube placement, 55% of patients were malnourished and 45% were nourished. Seventy-five percent of patients had the procedure without general anaesthetic. Localized G-tube-site infection was the most common complication (41%). Major complications occurred in 3 patients; 2 patients experienced localized peritonitis, and 1 patient developed a localized collection of pus in the abdominal wall. There were no G-tube-related deaths. At 1 month after the tube insertion, 39% of patients had gained, 54% maintained, and 7% lost weight. At 3 months, 69% had gained, 28% maintained, and 3% lost weight. There was a statistically significant weight gain from the time of the G-tube placement to both 1 month (P < 0.018) and 3 months (P < 0.0001) after G-tube placement. Patients in all diagnosis categories showed improvement from 1 to 3 months. Conclusions We conclude that retrograde tube placement is safe and can frequently be done without general anaesthetic and that G-tube feeding effectively reverses malnutrition and prevents weight loss in this patient population. Med. Pediatr. Oncol. 34:177–182, 2000. © 2000 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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