Upper gastrointestinal access in children: techniques and outcomes.
This article describes the radiologic techniques to obtain upper gastrointestinal access in children with poor oral intake and inadequate nutrition. Our goal is to provide a simple guide of radiologic gastrostomy and gastrojejunostomy procedures, their technical success, and long-term outcomes. Potential complications will be discussed as well as their management. It is important to emphasize that a multidisciplinary approach (pediatrician, dietitian, interventional radiologist, pediatric surgeon) is paramount for appropriate indications and management of patients with gastrostomies and gastrojejunostomies.
The Hospital for Sick Children, Toronto, Ontario, Canada. bairbre.connolly@sickkids.ca
Bairbre
B
Connolly
Ganesh
G
Krishnamurthy
Joao
J
Amaral
D002648:Child; D004750:Enteral Nutrition; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods*; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D015641:Radiography, Interventional / Q000009:adverse effects; D016896:Treatment Outcome