Abstract:
BACKGROUND:Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment. OBJECTIVE:To assess the safety and effectiveness of such treatment at a single center. MATERIALS AND METHODS:We conducted a 3-year retrospective feasibility study reporting on placement procedure, feeding plan, acute complications and effectiveness of this technique based on the evolution of the weight and weight-to-height during a period of 3 months. RESULTS:Eleven gastrostomies were performed in 11 children and young adults (3-20 years old) during oncological treatment. No major complications occurred. Two patients experienced minor side effects -- local leakage and granulation tissue formation -- both easily treated. In all cases, enteral feeding started within 24 h following the button placement. The patients were able to go home within 72 h. After 1 month, 64% (7/11) had gained weight, 18% (2/11) had maintained weight and 9% (1/11) had lost weight. After 3 months, 73% (8/11) had gained weight and 9% (1/11) had lost weight. CONCLUSION:The procedure and devices were well tolerated and mostly effective in our cohort.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Richioud B,Louazon T,Beji H,Bertrand A,Roux P,Kalenderian AC,Cuinet M,Pilleul F,Marec-Bérard Pdoi
10.1007/s00247-015-3426-5subject
Has Abstractpub_date
2015-12-01 00:00:00pages
1957-63issue
13eissn
0301-0449issn
1432-1998pii
10.1007/s00247-015-3426-5journal_volume
45pub_type
杂志文章abstract::With the advent of chemotherapy, mortality rates in acute lymphoblastic leukaemia (ALL) have decreased, but complications in the central nervous system have appeared. These include direct involvement of the brain itself and the development of chemotherapy-related encephalopathy as a delayed reaction. In most reported ...
journal_title:Pediatric radiology
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journal_title:Pediatric radiology
pub_type: 杂志文章,已发布勘误
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更新日期:2018-12-01 00:00:00
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