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Percutaneous gastrostomy tubes in children with Pierre Robin sequence: efficacy, maintenance and complications

Hyder Al-Attar1, Arvind K Shergill, Nicole E Brown

  • 1Department of Diagnostic Imaging, Image-Guided Therapy, The Hospital for Sick Children, 555 University Ave., Toronto, Canada, M5G 1X8.

Pediatric Radiology
|December 2, 2011
PubMed

Insights

Gastrostomy tubes (G-tubes) offer a safe and effective nutritional solution for children with Pierre Robin sequence (PRS). This study confirms their efficacy in supporting growth until oral feeding is adequate.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Genetics

Background:

  • Pierre Robin sequence (PRS) presents significant oropharyngeal challenges, leading to respiratory and feeding difficulties in children.
  • Gastrostomy tubes (G-tubes) are crucial for providing essential nutrition in affected infants.

Purpose of the Study:

  • To assess the safety and effectiveness of percutaneous G-tube insertion in pediatric patients diagnosed with PRS.
  • To evaluate the long-term outcomes and nutritional support provided by G-tubes in this specific population.

Main Methods:

  • A retrospective review of 37 children with PRS who underwent G-tube insertion between 1996 and 2009.
  • Data analysis focused on three periods: pre-insertion, during insertion, and post-removal of the G-tube.

Main Results:

  • All 37 G-tubes were successfully placed, with only minor technical issues reported.
  • Eight minor complications and two major dislodgements occurred post-procedure.
  • At removal, 76% of children had maintained or improved their weight percentiles, indicating successful nutritional support.

Conclusions:

  • Percutaneous G-tube insertion is a safe and effective method for nutritional support in children with Pierre Robin sequence.
  • G-tubes facilitate adequate nutrition, enabling children to achieve sufficient oral feeding capabilities.
Abstract

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