Abstract：
BACKGROUND:Enteral feeding by percutaneous endoscopic gastrostomy is indicated as long-term nutritional support for children with neurologic impairment and dysphagia. We report our experience with percutaneous endoscopic gastrostomy and evaluate the age range of children with cerebral palsy who benefit most with weight and height gain. METHODS:In a prospective study, from August 1996 to August 1997, 20 endoscopic gastrostomies were performed in 20 children diagnosed with cerebral palsy (16), myopathy (2), and brain trauma (2). The mean age was 6.5 years and the mean follow-up 5.9 months. All patients had severe mental impairment and oropharyngeal dysphagia. They were followed up monthly on an outpatient basis by both the gastroenterologist and the dietitian, who assessed gastrostomy complications and performed anthropometric measurements. RESULTS:All 20 patients benefited from enteral nutrition with a statistically significant gain in weight (p < 0.01), and there was a trend toward improved weight/height ratio in children under 4 years of age according to Z-score and mid-arm muscle area (p < 0.01). Triceps skinfold thickness failed to reach statistical significance. There were no immediate complications related to the procedure. Perforations occurred with three (15%) tubes, and the plugs for introduction of food had to be replaced after 4 months of use. All complications, namely formation of granulation tissue at the stoma (7), stoma infection (4), gastroesophageal reflux pneumonia (3), and pneumoperitoneum (1) were managed clinically. CONCLUSIONS:Endoscopic gastrostomy is a safe procedure for children. Enteral feeding resulted in a trend toward a normalized weight/height ratio for children with cerebral palsy younger than 4 years and significant weight gain in those older than 12 years.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Brant CQ,Stanich P,Ferrari AP Jrdoi
10.1016/s0016-5107(99)70222-1keywords:
subject
Has Abstractpub_date
1999-08-01 00:00:00pages
183-8issue
2eissn
0016-5107issn
1097-6779pii
S0016-5107(99)70222-1journal_volume
50pub_type
杂志文章abstract：BACKGROUND:Malignant esophageal masses can be staged with endoscopic ultrasound (EUS) using the TNM staging classification. Several criteria for differentiating between intraesophageal (T1-2) and extraesophageal (T3-4) masses have been described, but highly accurate staging remains difficult. METHODS:This is a blinded...
journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章
doi：10.1016/s0016-5107(97)70238-4
更新日期：1997-02-01 00:00:00
abstract：BACKGROUND:Recurrent small bowel obstruction caused by postoperative adhesions has traditionally been treated by conventional laparotomy, but laparoscopic management of acute small bowel obstruction has been reported. The aim of this study was to assess the long-term efficacy and clinical outcome of laparoscopic adhesi...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1067/mge.2001.117760
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1067/mge.2002.129610
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pub_type： 杂志文章
doi：10.1016/j.gie.2014.03.021
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Percutaneous endoscopic gastrostomy (PEG) is a procedure with many complications that sometimes can be devastating. To give better advice to patients referred for PEG regarding risk of complications, important risk factors should be known. OBJECTIVE:To evaluate whether age, body mass index, albumin levels, ...
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pub_type： 杂志文章
doi：10.1067/mge.2000.105725
更新日期：2000-07-01 00:00:00
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doi：10.1016/j.gie.2006.08.030
更新日期：2007-05-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0016-5107(98)70166-x
更新日期：1998-08-01 00:00:00
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pub_type： 杂志文章
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更新日期：2013-07-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(03)02873-6
更新日期：2004-04-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,评审
doi：10.1016/j.gie.2020.08.017
更新日期：2021-02-01 00:00:00
abstract：BACKGROUND:Endoscopic nasobiliary drainage (NBD) for the treatment of acute cholangitis is an accepted method. A recently developed ultrathin transnasal videoendoscope is minimally invasive, even for patients who are critically ill. OBJECTIVE:To evaluate the clinical efficacy and safety of 1-step NBD by transnasal vid...
journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2007.11.050
更新日期：2008-07-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2007.10.019
更新日期：2008-08-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(96)70168-2
更新日期：1996-09-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2010.12.005
更新日期：2011-03-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2011.05.026
更新日期：2011-09-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.gie.2010.10.013
更新日期：2011-02-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2004-08-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2000-01-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2012-04-01 00:00:00
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pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1989-09-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2020.01.036
更新日期：2020-06-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
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更新日期：2000-02-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2019.09.014
更新日期：2020-03-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2009.09.043
更新日期：2010-03-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(93)70263-1
更新日期：1993-11-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 临床试验,杂志文章
doi：10.1016/s0016-5107(99)70293-2
更新日期：1999-06-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/j.gie.2006.06.018
更新日期：2006-12-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(99)70162-8
更新日期：1999-12-01 00:00:00
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journal_title：Gastrointestinal endoscopy
pub_type： 杂志文章
doi：10.1016/s0016-5107(87)71680-0
更新日期：1987-12-01 00:00:00
