Related Experiment Video

Updated: Sep 28, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

255

Gastrojejunal (GJ) tube feeding: developing a service and evaluating associated complications in a paediatric

Rebecca Williams1, Harmit Singh Ghattaura2, Ruth Hallows3

  • 1Brighton and Sussex Medical School, Brighton, UK.

Pediatric Surgery International
|March 30, 2022
PubMed

Insights

Gastrojejunal (GJ) tube feeding is effective for children with feeding intolerance. This method is safe and reversible, with a dedicated team improving long-term outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Clinical Nutrition

Background:

  • Gastrojejunal (GJ) tubes offer an alternative nutrition delivery for children unable to tolerate gastric feeding.
  • Limited data exists on patient outcomes, tube longevity, and complications associated with GJ tubes.
  • This study evaluates a specialized service for pediatric GJ tube feeding.

Purpose of the Study:

  • To develop and evaluate a service for pediatric GJ tube feeding.
  • To assess patient outcomes, tube longevity, and complication rates.
  • To highlight the effectiveness and safety of GJ tube management in children.

Main Methods:

  • Retrospective review of pediatric GJ tube placements and replacements.
  • Study period: January 2015 to June 2018 in a tertiary pediatric surgical center.
  • Inclusion criteria: Children undergoing initial gastrostomy to GJ tube conversion or GJ tube replacement.

Main Results:

  • 134 GJ tubes placed in 33 neurologically impaired children (median age 4.9 years).
  • Median replacement time: 174.9 days; common indication: foregut dysmotility.
  • Complication rate: 34.3%; 75.7% continued jejunal feeding; no mortalities.

Conclusions:

  • GJ tube feeding is a safe and effective option for pediatric foregut dysmotility.
  • The reversibility of jejunal feeding is a significant advantage.
  • A dedicated multidisciplinary team is crucial for efficient long-term management.
Abstract

Keywords:
ChildrenGastro-jejunalNeurological impairmentReversibility

More Related Videos

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

986
Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.8K

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
321
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
506
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
182
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
303
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
165
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
387