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01.05.2012 | Original Article

Percutaneous gastrostomy tubes in children with Pierre Robin sequence: efficacy, maintenance and complications

verfasst von: Hyder Al-Attar, Arvind K. Shergill, Nicole E. Brown, Cindy Guernsey, David Fisher, Michael Temple, Philip John, Joao G. Amaral, Dimitri Parra, Bairbre L. Connolly

Erschienen in: Pediatric Radiology | Ausgabe 5/2012

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Abstract

Background

Children with Pierre Robin sequence (PRS) have significant oropharyngeal abnormalities, with respiratory and feeding difficulties. Gastrostomy tubes (G-tube) provide a means for nutrition.

Objective

To evaluate the safety and efficacy of percutaneous G-tube insertion in children with PRS.

Materials and methods

Of 120 children with PRS (1996–2009), 40 were referred for G-tube insertion; clinical details were reviewed in 37/40 children (18M, 19F) at three time periods: (1) pre-G-tube insertion, (2) at G-tube insertion, (3) at G-tube removal.

Results

Pre-G-tube: 32/37 were term infants; 5 were preterm; 16/37 children were ≤ 10th weight percentile. At G-tube insertion, mean age was 66 days, mean weight 4.4 kg (1.1–7.0 kg); 19 dropped ≥10 weight percentiles; 12 tolerated nil by mouth; 2/37 were intubated for the procedure. All G-tubes were successfully placed, with five minor technical issues. Early postprocedure, there were eight minor complications and two dislodgements (classified as major). At G-tube removal mean G-tube dwell time was 2 years, with an average of 3.6 maintenance procedures per child, approximately 3 tube changes/1,000 tube days. At G-tube removal, 76% had maintained or increased weight centiles.

Conclusion

G-tubes in PRS provide a safe method for nutrition until children feed adequately by mouth.

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Titel: Percutaneous gastrostomy tubes in children with Pierre Robin sequence: efficacy, maintenance and complications
verfasst von: Hyder Al-Attar
Arvind K. Shergill
Nicole E. Brown
Cindy Guernsey
David Fisher
Michael Temple
Philip John
Joao G. Amaral
Dimitri Parra
Bairbre L. Connolly
Publikationsdatum: 01.05.2012
Verlag: Springer-Verlag
Erschienen in: Pediatric Radiology / Ausgabe 5/2012
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-011-2301-2

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Percutaneous gastrostomy tubes in children with Pierre Robin sequence: efficacy, maintenance and complications