Percutaneous feeding tube placement in pediatric patients: immediate and 30-day results.
OBJECTIVE
To evaluate fluoroscopically guided percutaneous feeding tube placement in pediatric patients.


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).


CONCLUSIONS
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.
Marx
M V
MV
Department of Radiology, University of Michigan Hospitals, Ann Arbor, 48109-0030, USA.
Williams
D M
DM
Perkins
A J
AJ
Reynolds
P I
PI
Nelson
V S
VS
Andrews
J C
JC
Bushey
L N
LN
D002648:Child; D002985:Clinical Protocols; D004750:Enteral Nutrition; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D007441:Intubation, Gastrointestinal / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome