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Percutaneous feeding tube placement in pediatric patients: immediate and 30-day results
M V Marx1, D M Williams, A J Perkins
1Department of Radiology, University of Michigan Hospitals, Ann Arbor, 48109-0030, USA.
Insights
Fluoroscopically guided percutaneous feeding tube placement in pediatric patients achieves high technical success. Careful periprocedural care is crucial, as morbidity is common within the first month post-placement.
Area of Science:
- Pediatric Gastroenterology
- Interventional Radiology
Background:
- Percutaneous feeding tube placement is a common procedure in pediatric care.
- Optimizing outcomes and minimizing complications are key concerns.
Purpose of the Study:
- To evaluate the efficacy and safety of fluoroscopically guided percutaneous feeding tube placement in children.
- To identify risk factors associated with early and delayed complications.
Main Methods:
- Sixty-one fluoroscopically guided percutaneous feeding tube placements were performed in pediatric patients.
- A periprocedural care protocol was modified after the first nine cases.
- Outcomes, including major and minor complications, were assessed at 48 hours and 30 days.
Main Results:
- Technical success rate was nearly 97%.
- Early complication rates (48 hours) were 1.9% major and 9.6% minor, associated with the initial protocol and lower patient weight.
- Delayed complication rates (30 days) were 8.3% major and 12.0% minor, linked to gastrojejunostomy tube placement and immunosuppression.
Conclusions:
- Fluoroscopically guided percutaneous feeding tube placement is technically successful in pediatric patients.
- Adherence to an optimized periprocedural care protocol is essential for improving outcomes.
- Morbidity, particularly within the first month, is a significant consideration requiring careful management.
Purpose:
To evaluate fluoroscopically guided percutaneous feeding tube placement in pediatric patients.
Materials And Methods:
Sixty-one procedures were performed. Periprocedural care protocol was changed after patient nine. Forty-eight-hour and 30-day outcomes were assessed.
Results:
Almost 97% of procedures were successful. The 48-hour major and minor complication rates were 1.9% and 9.6%, respectively, after the initial nine procedures. Risk factors for early complications were the use of the initial care protocol (P < .01) and patient weight below the 50th percentile (P < .05). Major and minor 30-day complication rates were 8.3% and 12.0%, respectively. Risk factors for delayed complications were placement of a gastrojejunostomy tube rather than a gastrostomy tube (P < .05) and immunosuppression (P < .05).
Conclusion:
Percutaneous feeding tubes can be placed in children with a high rate of technical success. Optimal results require attention to periprocedural care. Morbidity is common during the first month of tube use.