title: De novo radiologic placement of button gastrostomy: a feasibility study in children with cancer.
abstract: BACKGROUND
  Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment.
  
  
  OBJECTIVE
  To assess the safety and effectiveness of such treatment at a single center.
  
  
  METHODS
  We conducted a 3-year retrospective feasibility study reporting on placement procedure, feeding plan, acute complications and effectiveness of this technique based on the evolution of the weight and weight-to-height during a period of 3 months.
  
  
  RESULTS
  Eleven gastrostomies were performed in 11 children and young adults (3-20 years old) during oncological treatment. No major complications occurred. Two patients experienced minor side effects -- local leakage and granulation tissue formation -- both easily treated. In all cases, enteral feeding started within 24 h following the button placement. The patients were able to go home within 72 h. After 1 month, 64% (7/11) had gained weight, 18% (2/11) had maintained weight and 9% (1/11) had lost weight. After 3 months, 73% (8/11) had gained weight and 9% (1/11) had lost weight.
  
  
  CONCLUSIONS
  The procedure and devices were well tolerated and mostly effective in our cohort.
authors.affiliation: Department of Radiology, Centre Léon Bérard, 28 rue Laennec, 69008, Lyon, France. bertrand.richioud@gmail.com.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Richioud
authors.affiliation: Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Lyon, France.
authors.forename: Typhaine
authors.initials: T
authors.lastname: Louazon
authors.affiliation: Department of Radiology, Centre Léon Bérard, 28 rue Laennec, 69008, Lyon, France.
authors.forename: Hedi
authors.initials: H
authors.lastname: Beji
authors.affiliation: Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Lyon, France.
authors.forename: Amandine
authors.initials: A
authors.lastname: Bertrand
authors.affiliation: Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Lyon, France.
authors.forename: Pascale
authors.initials: P
authors.lastname: Roux
authors.affiliation: Department of Radiology, Centre Léon Bérard, 28 rue Laennec, 69008, Lyon, France.
authors.forename: Anne-Charlotte
authors.initials: AC
authors.lastname: Kalenderian
authors.affiliation: Department of Radiology, Centre Léon Bérard, 28 rue Laennec, 69008, Lyon, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Cuinet
authors.affiliation: Department of Radiology, Centre Léon Bérard, 28 rue Laennec, 69008, Lyon, France.
authors.forename: Frank
authors.initials: F
authors.lastname: Pilleul
authors.affiliation: Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Lyon, France.
authors.forename: Perrine
authors.initials: P
authors.lastname: Marec-Bérard
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications*; D011183:Postoperative Complications; D015641:Radiography, Interventional; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Adolescent; Child; Interventional radiology; Oncology; Primary button gastrostomy; Young adult