De novo radiologic placement of button gastrostomy: a feasibility study in children with cancer.

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 Radiol

journal_title

Pediatric radiology

authors

Richioud B,Louazon T,Beji H,Bertrand A,Roux P,Kalenderian AC,Cuinet M,Pilleul F,Marec-Bérard P

doi

10.1007/s00247-015-3426-5

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

1957-63

issue

13

eissn

0301-0449

issn

1432-1998

pii

10.1007/s00247-015-3426-5

journal_volume

45

pub_type

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