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Upper gastrointestinal access in children: techniques and outcomes

Bairbre Connolly1, Ganesh Krishnamurthy, Joao Amaral

  • 1The Hospital for Sick Children, Toronto, Ontario, Canada. bairbre.connolly@sickkids.ca

Techniques in Vascular and Interventional Radiology
|November 9, 2010
PubMed

Insights

Radiologic gastrostomy and gastrojejunostomy provide essential upper gastrointestinal access for children with poor oral intake. This guide details techniques, success rates, outcomes, and complication management, emphasizing a multidisciplinary approach.

Area of Science:

  • Pediatric Interventional Radiology
  • Gastroenterology
  • Pediatric Surgery

Background:

  • Children with poor oral intake often require nutritional support.
  • Establishing reliable upper gastrointestinal access is crucial for these patients.
  • Radiologic techniques offer a minimally invasive solution.

Purpose of the Study:

  • To describe radiologic techniques for pediatric upper gastrointestinal access.
  • To guide gastrostomy and gastrojejunostomy procedures.
  • To review technical success, outcomes, and complications.

Main Methods:

  • Percutaneous radiologic techniques for gastrostomy and gastrojejunostomy.
  • Review of technical success and long-term patient outcomes.
  • Discussion of potential complications and their management.

Main Results:

  • Radiologic gastrostomy and gastrojejunostomy are effective for achieving upper GI access.
  • Detailed procedural techniques and management strategies are outlined.
  • Complications and their resolutions are discussed.

Conclusions:

  • Radiologic gastrostomy and gastrojejunostomy are valuable tools for pediatric nutritional support.
  • A multidisciplinary team approach is essential for optimal patient care.
  • This article serves as a guide for performing and managing these procedures.

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