RT Journal Article
SR Electronic
T1 Experience of percutaneous endoscopic gastrostomy in children with Crohn’s disease
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 141
OP 143
DO 10.1136/adc.76.2.141
VO 76
IS 2
A1 Cosgrove, Michael
A1 Jenkins, Huw R
YR 1997
UL http://adc.bmj.com/content/76/2/141.abstract
AB Enteral nutrition is an important mode of treatment for Crohn’s disease in children. Percutaneous endoscopic gastrostomy has been little used, even though it can facilitate the administration of an unpalatable elemental diet to an anorexic, undernourished patient. Its use is reported in 10 children with Crohn’s disease. The gastrostomy was found to be more acceptable than a nasogastric tube and was associated with only minor complications. As a consequence of improved delivery of enteral nutrition, in the year after the insertion of the gastrostomy there was a reduction in prednisolone dosage in all patients, with six patients being able to stop prednisolone completely. The SD score for height also improved significantly. It is suggested that percutaneous endoscopic gastrostomy is both useful and safe in the management of Crohn’s disease in children, particularly when compliance with an elemental diet is likely to be poor.