A descriptive study of complications of gastrostomy tubes in children.
OBJECTIVE
The purpose of this study was to determine the number and types of complications experienced by children with gastrostomy tubes.


METHODS
This is a prospective study of children with gastrostomy tube complications. Enrollment occurred on the first 24 months of the study. Data were collected for 4 years, beginning at the enrollment of the first participant. Demographic data and information on infections, granulation tissue formation, and major complications were recorded.


RESULTS
Infections occurred in 37% of patients, with most experiencing a single infection that occurred within the first 15 days after tube placement. Granulation tissue developed in 68% of patients, with 17% experiencing recurrent granulation tissue despite treatment. There was no difference in infection rates or granulation tissue formation between subgroups based on gender, ethnicity, or parents' education level. Major complications occurred in 4% of the patients.


CONCLUSIONS
Complications of infection and granulation tissue occur frequently and likely are a cause of stress and increased burden of care for these children and families. Improved strategies for care are needed.
Goldberg
Elizabeth
E
Division of Gastroenterology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA.
Barton
Sharon
S
Xanthopoulos
Melissa S
MS
Stettler
Nicolas
N
Liacouras
Chris A
CA
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D020878:Device Removal; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation*; D006097:Granulation Tissue / Q000473:pathology; D006776:Hospitals, Pediatric; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D011446:Prospective Studies; D016459:Prosthesis-Related Infections / Q000453:epidemiology*; D011788:Quality of Life; D018570:Risk Assessment