Article Text

Gastrostomy in children with Crohn’s disease
  1. DINESH PASHANKAR,
  2. DAVID M ISRAEL
  1. Division of Gastroenterology
  2. British Columbia’s Children’s Hospital
  3. 4480 Oak Street,Vancouver
  4. BC, Canada V6H 3V4

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    Editor,—We read with interest the article by Cosgrove and Jenkins, describing their experience with percutaneous endoscopic gastrostomy (PEG) in children with Crohn’s disease.1 In the past, we reported improvement in linear growth and overall safety of gastrostomy procedure in 16 children with Crohn’s disease.2

    We have since had additional experience with seven children with Crohn’s disease and gastrostomy. The mean age of children was 13.3 years (range 2.5–17 years). Five had PEG and two had surgical gastrostomy tubes placed. The indication for gastrostomy was growth failure and refusal or failure to use nasogastric tube feeding. …

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