Percutaneous gastrojejunostomy in children: efficacy and safety
- Laurent Michaud1,
- Stéphanie Coopman1,
- Dominique Guimber1,
- Rony Sfeir2,
- Dominique Turck1,
- Frédéric Gottrand1
- 1Department of Pediatrics, Jeanne de Flandre Children's Hospital, University Lille2, Lille, France
- 2Department of Pediatric Surgery, Jeanne de Flandre Children's Hospital, University Lille2, Lille, France
- Correspondence to Laurent Michaud, Department of Pediatrics, Jeanne de Flandre Children's Hospital and Faculty of Medicine, University Lille2, Avenue Eugène Avinée, 59037 Lille, France;
Contributors LM and FG were responsible for conception and design of the study, analysis and interpretation of data, and drafting and revising the paper. SC, DG, RS and DT conducted the analysis and interpretation of data and drafted and revised the paper.
- Received 8 July 2011
- Accepted 22 February 2012
- Published Online First 13 April 2012
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.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.