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De novo radiologic placement of button gastrostomy: a feasibility study in children with cancer
Bertrand Richioud1, Typhaine Louazon2, Hedi Beji3
1Department of Radiology, Centre Léon Bérard, 28 rue Laennec, 69008, Lyon, France. bertrand.richioud@gmail.com.
Insights
Percutaneous radiologic button gastrostomy is safe and effective for children undergoing cancer treatment, with most patients gaining weight post-procedure. This method facilitates early feeding and discharge, supporting nutritional status during oncology care.
Area of Science:
- Pediatric Oncology
- Gastroenterology
- Interventional Radiology
Background:
- Percutaneous radiologic button gastrostomy is established in adults.
- Limited data exists on its use in pediatric cancer patients.
Purpose of the Study:
- To evaluate the safety and effectiveness of percutaneous radiologic button gastrostomy in children with cancer.
- To assess outcomes including procedure success, complications, and nutritional status.
Main Methods:
- A 3-year retrospective feasibility study.
- Analysis of placement procedures, feeding plans, and acute complications.
- Evaluation of weight and weight-to-height changes over 3 months.
Main Results:
- Eleven gastrostomies were performed in children aged 3-20 years undergoing cancer treatment.
- No major complications were observed; minor issues like leakage were easily managed.
- Enteral feeding commenced within 24 hours, with patients discharged within 72 hours.
- Significant weight gain was observed: 64% at 1 month and 73% at 3 months.
Conclusions:
- Percutaneous radiologic button gastrostomy is a well-tolerated and effective procedure for pediatric cancer patients.
- The technique supports nutritional rehabilitation and facilitates timely hospital discharge.
Background:
Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment.
Objective:
To assess the safety and effectiveness of such treatment at a single center.
Materials And Methods:
We conducted a 3-year retrospective feasibility study reporting on placement procedure, feeding plan, acute complications and effectiveness of this technique based on the evolution of the weight and weight-to-height during a period of 3 months.
Results:
Eleven gastrostomies were performed in 11 children and young adults (3-20 years old) during oncological treatment. No major complications occurred. Two patients experienced minor side effects -- local leakage and granulation tissue formation -- both easily treated. In all cases, enteral feeding started within 24 h following the button placement. The patients were able to go home within 72 h. After 1 month, 64% (7/11) had gained weight, 18% (2/11) had maintained weight and 9% (1/11) had lost weight. After 3 months, 73% (8/11) had gained weight and 9% (1/11) had lost weight.
Conclusion:
The procedure and devices were well tolerated and mostly effective in our cohort.
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