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Consensus on gastrostomies in pediatrics: a multidisciplinary approach

Jimena Fraga1, Cecilia E Zubiri2, Juan Varón1

  • 1Grupo de Trabajo en Discapacidad de la Sociedad Argentina de Pediatría.

Archivos Argentinos De Pediatria
|September 30, 2025
PubMed

Insights

Gastrostomy tube (GTT) feeding offers vital nutritional support for pediatric patients with feeding difficulties. This consensus provides guidelines for optimal GTT use, improving quality of life for children and their families.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Nutrition
  • Quality of Life Studies

Background:

  • Gastrostomy tube (GTT) provides essential long-term enteral feeding for pediatric patients with oral feeding challenges.
  • GTT significantly enhances the physical, psychological, and social well-being of children, adolescents, and their caregivers.

Purpose of the Study:

  • To establish clear criteria for identifying pediatric candidates for GTT.
  • To standardize GTT procedures, diagnostic criteria, and resource utilization.
  • To improve patient/family quality of life and foster interdisciplinary collaboration in pediatric GTT care.

Main Methods:

  • A comprehensive review of existing scientific literature was performed.
  • The best available evidence was selected to inform the recommendations.
  • Recommendations were developed for pediatricians, ensuring adaptability to local contexts.

Main Results:

  • Guidelines were formulated to identify appropriate pediatric candidates for GTT.
  • Recommendations cover various GTT procedures, diagnostic standards, and complication management.
  • The consensus aims to optimize GTT use for improved patient outcomes.

Conclusions:

  • This consensus provides evidence-based recommendations for pediatric gastrostomy tube (GTT) implementation.
  • Adherence to these guidelines can enhance nutritional support and quality of life for pediatric patients.
  • The document promotes standardized, rational, and collaborative GTT care in pediatrics.

Keywords:
endoscopic surgical proceduresenteral nutritiongastrostomypediatrics

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