title: Experience with image-guided gastrostomy and gastrojejunostomy tubes in children and adolescents with primary psychiatric illness.
abstract: OBJECTIVE
  To investigate the clinical experience with G/GJ tubes in child and adolescent psychiatry patients with disordered eating.
  
  
  METHODS
  Health Records and Image-Guided Therapy databases (1995-2005) identified patients with primary psychiatric illness who received radiologically placed G/GJ tubes for refeeding. Patient charts were reviewed for relevant data.
  
  
  RESULTS
  Nine patients who were 11-17 years old had G/GJ tubes inserted for refeeding as a result of their psychopathology. Prior to G/GJ tube insertion, adolescent inpatients were fed by NG/NJ tube for 0.5-7.3 months (mean 3.1 months) and subsequently fed by G/GJ tube for 5-60 months (mean 29 months) on an outpatient basis. No major complications or episodes of intentional tube manipulation/removal occurred. G/GJ tube feeding was effective in restoring and/or maintaining weight.
  
  
  CONCLUSIONS
  Image-guided enterostomy tubes are a safe and well-tolerated method for feeding pediatric patients with psychiatric disorders and food refusal, and allow outpatient management of underlying psychopathology.
authors.affiliation: Department of Psychiatry, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada. daphne.korczak@sickkids.ca
authors.forename: Daphne J
authors.initials: DJ
authors.lastname: Korczak
authors.forename: Bairbre
authors.initials: B
authors.lastname: Connolly
authors.forename: Tara
authors.initials: T
authors.lastname: Baron
authors.forename: Debra K
authors.initials: DK
authors.lastname: Katzman
authors.forename: Stacey
authors.initials: S
authors.lastname: Bernstein
mesh_terms: D000293:Adolescent; D002648:Child; D004750:Enteral Nutrition / Q000379:methods; D001068:Feeding and Eating Disorders / Q000601:surgery* / Q000628:therapy; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects; D005774:Gastrostomy / Q000009:adverse effects; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000517:prevention & control*; D019060:Minimally Invasive Surgical Procedures; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted