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Percutaneous nonendoscopic gastrostomy in children
D A Cory1, J F Fitzgerald, M D Cohen
1Department of Radiology, Riley Hospital for Children, Indiana University Medical Center, Indianapolis 46223.
AJR. American Journal of Roentgenology
|November 1, 1988
Summary
Percutaneous gastrostomy is a safe and effective feeding tube placement for children. This method, guided by imaging, offers a viable alternative to surgical gastrostomy with minimal complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Surgical gastrostomy is a traditional method for pediatric nutritional support.
- Percutaneous endoscopic gastrostomy is emerging as a potentially safer, faster, and more cost-effective pediatric procedure.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous gastrostomy in infants and children.
- To compare percutaneous gastrostomy outcomes with previous surgical gastrostomy experiences.
Main Methods:
- 16 percutaneous gastrostomies were performed in 14 pediatric patients.
- All procedures utilized both sonographic and fluoroscopic guidance.
- Most procedures used parenteral sedation and local anesthesia; some used general anesthesia.
Main Results:
- Successful tube placement was achieved in all 16 procedures.
- No local infections, hemorrhage, or peritonitis were reported.
- Two patients experienced tube dislodgement requiring re-intervention; two had postprocedure septicemia responding to antibiotics.
Conclusions:
- Percutaneous nonendoscopic gastrostomy is a safe and effective procedure for pediatric patients.
- This technique provides a successful alternative for nutritional support in infants and children.
- The study highlights the benefits of image-guided percutaneous gastrostomy in a pediatric population.