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Jejunal feeding tubes via gastrostomy in children

T Doede1, S Faiss, F Schier

  • 1Department of Pediatric Surgery, Klinikum der Friedrich-Schiller-Universität Jena, Jena, Germany. doede@med.uni-jena.de

Endoscopy
|August 10, 2002
PubMed

Insights

Jejunal feeding tubes, placed via PEG, offer an alternative for patients with feeding issues due to gastroesophageal reflux. However, frequent tube displacement necessitates regular changes.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Surgery

Background:

  • Percutaneous endoscopic gastrostomy (PEG) with jejunal tube placement is a treatment for inadequate oral feeding in patients with gastroesophageal reflux.
  • This method is considered as an alternative to surgical fundoplication and pharmacotherapy.

Purpose of the Study:

  • To evaluate the efficacy and complications of jejunal feeding tubes in pediatric patients with gastroesophageal reflux.

Main Methods:

  • Retrospective analysis of patients under 18 years old treated with jejunal feeding tubes.
  • Data collected from Universitätsklinikum Benjamin Franklin, Berlin, between September 1995 and August 2000.

Main Results:

  • 12 out of 76 patients received jejunal feeding tubes post-PEG.
  • 52 jejunal tube changes were required in 11 children due to complications.
  • The primary complication was tube displacement into the gastrointestinal tract, often linked to technical issues.

Conclusions:

  • Jejunal feeding tubes are a viable alternative for managing feeding difficulties in patients with gastrostomy.
  • A significant rate of jejunal tube displacement and subsequent changes is anticipated.
Abstract

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