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Upper gastrointestinal bleeding due to gastric ulcers in children with gastrostomy tubes

B Weiss1, A Fradkin, M Ben-Akun

  • 1Division of Pediatric Gastroenterology and Nutrition, The Chaim Sheba Medical Center and Sackler School of Medicine, Tel-Aviv University, Israel.

Journal of Clinical Gastroenterology
|July 15, 1999
PubMed

Insights

Gastrostomy tubes (G-tubes) can lead to serious upper gastrointestinal bleeding from gastric ulcers years after placement in children. This study highlights the risk and reviews potential causes for these ulcers.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Surgery

Background:

  • Gastrostomy tubes (G-tubes) are common in pediatric care for nutritional support.
  • Long-term G-tube use may be associated with gastrointestinal complications.

Purpose of the Study:

  • To report cases of gastric ulcers and upper gastrointestinal bleeding in children with G-tubes.
  • To review literature and discuss potential mechanisms of G-tube-induced gastric ulcers.

Main Methods:

  • Case series of four pediatric patients with G-tubes.
  • Literature review on gastric ulcer formation related to G-tubes.

Main Results:

  • Four children developed gastric ulcers and upper gastrointestinal bleeding years post-G-tube insertion.
  • Literature suggests mechanical irritation and altered gastric physiology as potential causes.

Conclusions:

  • Gastric ulcers are a potential long-term complication of G-tubes in children.
  • Further investigation into preventative strategies and monitoring is warranted.

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