Pediatric Radiology

, 38:963

Growth outcomes and complications after radiologic gastrostomy in 120 children

  • Evan Cole Lewis
  • Bairbre Connolly
  • Michael Temple
  • Philip John
  • Peter G. Chait
  • Jennifer Vaughan
  • Joao G. Amaral
Original Article

DOI: 10.1007/s00247-008-0925-7

Cite this article as:
Lewis, E.C., Connolly, B., Temple, M. et al. Pediatr Radiol (2008) 38: 963. doi:10.1007/s00247-008-0925-7

Abstract

Background

Enteral feeding is ideal for children with low caloric intake. It can be provided through different methods, including nasogastric, nasojejunal, gastrostomy, or gastrojejunostomy tubes.

Objective

To assess growth outcomes of pediatric patients following retrograde percutaneous gastrostomy (RPG) and compare complications with those following other gastrostomy methods.

Materials and methods

We retrospectively reviewed 120 random RPG patients from 2002 to 2003 (mean follow-up, 2.7 years). Patient weights and growth percentiles were recorded at insertion, and at 0–5 months, 6–12 months, and 18–24 months after insertion, and then compared using a Student’s t-test. Complications and tube maintenance issues (TMIs) were recorded.

Results

Gastrostomy tube insertion was successful in all 120 patients (59 boys, 61 girls; mean age 4.3 years). The most common underlying diagnosis was neurologic disease (29%, 35/120) and the main indication was inadequate caloric intake (24%, 29/120). Significant increases in growth percentile for the entire population were demonstrated between insertion and 0–5 months (18.7–25.3; P<0.001) and between insertion and 18–24 months (18.7–25.8; P<0.001). In boys and girls significant growth increases occurred between insertion and 0–5 months (boys P=0.004; girls P=0.01). There were 11 major postprocedural complications, 100 minor complications and 169 TMIs.

Conclusion

RPG provides long-term enteral nutrition in the pediatric population and increases growth significantly 6 and 24 months after insertion. Minor complications and TMIs are frequent.

Keywords

Gastrostomy Pediatric Retrograde percutaneous gastrostomy Growth outcomes 

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Evan Cole Lewis
    • 1
  • Bairbre Connolly
    • 2
  • Michael Temple
    • 2
  • Philip John
    • 2
  • Peter G. Chait
    • 2
  • Jennifer Vaughan
    • 2
  • Joao G. Amaral
    • 2
  1. 1.Department of Pediatrics, Division of Pediatric NeurologyChildren’s Hospital of Eastern OntarioOttawaCanada
  2. 2.Department of Diagnostic Imaging, Division of Image Guided TherapyThe Hospital for Sick ChildrenTorontoCanada