title: Percutaneous gastrojejunostomy in children: efficacy and safety.
abstract: Transgastric jejunal intubation via gastrostomy (GJ) can be indicated when enteral nutrition via gastrostomy is not possible. Between 2001 and 2008, the authors prospectively assessed the outcomes in 29 patients (median age, 10 months) after GJ. Indications for jejunal feeding were severe gastro-oesophageal reflux (n=27) and intestinal dysmotility (n=2). The GJ was successfully placed in 27/29 patients. Complications were: 31 tube dislodgements, 16 obstructions, 7 leakages around the tube, 6 internal balloon ruptures and 1 intussusception. The median lifetime of the tube was 3 months. 9/27 patients died during the study period, 11 patients required surgery, 2 required parenteral nutrition, gastric feeding became tolerated in 3 and the gastrojejunal feeding tube was kept in place in the remaining 2. A transgastric jejunal feeding tube may constitute a transitory alternative to antireflux surgery or prolonged parenteral nutrition. However, the high frequency of complications and tube replacement limits its use.
authors.affiliation: Department of Pediatrics, Jeanne de Flandre Children's Hospital and Faculty of Medicine, University Lille2, Avenue Eugène Avinée, 59037 Lille, France. laurent.michaud@chru-lille.fr
authors.forename: Laurent
authors.initials: L
authors.lastname: Michaud
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Coopman
authors.forename: Dominique
authors.initials: D
authors.lastname: Guimber
authors.forename: Rony
authors.initials: R
authors.lastname: Sfeir
authors.forename: Dominique
authors.initials: D
authors.lastname: Turck
authors.forename: Frédéric
authors.initials: F
authors.lastname: Gottrand
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition / Q000379:methods*; D015390:Gastric Bypass / Q000009:adverse effects* / Q000379:methods; D005764:Gastroesophageal Reflux / Q000628:therapy*; D006801:Humans; D007223:Infant; D007410:Intestinal Diseases / Q000628:therapy*; D007582:Jejunostomy / Q000009:adverse effects* / Q000379:methods; D009752:Nutritional Status; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D055815:Young Adult