4.3 Article

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

期刊

PEDIATRIC RADIOLOGY
卷 42, 期 5, 页码 566-573

出版社

SPRINGER
DOI: 10.1007/s00247-011-2301-2

关键词

Percutaneous gastrostomy; Pierre Robin; Feeding difficulties; Complications; Growth outcomes; Children

向作者/读者索取更多资源

Children with Pierre Robin sequence (PRS) have significant oropharyngeal abnormalities, with respiratory and feeding difficulties. Gastrostomy tubes (G-tube) provide a means for nutrition. To evaluate the safety and efficacy of percutaneous G-tube insertion in children with PRS. 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. Pre-G-tube: 32/37 were term infants; 5 were preterm; 16/37 children were a parts per thousand currency sign 10th weight percentile. At G-tube insertion, mean age was 66 days, mean weight 4.4 kg (1.1-7.0 kg); 19 dropped a parts per thousand yen10 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. G-tubes in PRS provide a safe method for nutrition until children feed adequately by mouth.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.3
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据