Gastrostomy tube use in children with cancer.

Abstract:

:Children with cancer are at risk of malnutrition, which can impair critical childhood processes of growth and development and contribute to poor health outcomes. Enteral nutrition can effectively ameliorate malnutrition or weight loss in children with cancer; however, published nutrition support algorithms contain minimal specific information on gastrostomy tube use, and current literature is limited. Decisions about gastrostomy tube insertion in children with cancer can be challenging. Consideration of gastrostomy tube insertion is only appropriate in children with long-term dependence on enteral nutrition, particularly when nasogastric tube insertion is predicted or proven to be problematic. Specific indications for patient selection are unclear, and referring clinicians may be unaware of important absolute and relative contraindications. Complications are predominantly minor in nature; however, reported rates are high. Morbidity must be weighed carefully against the need and anticipated duration of enteral nutrition support, and further research in this area is needed.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

McGrath KH,Hardikar W

doi

10.1002/pbc.27702

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

e27702

issue

7

eissn

1545-5009

issn

1545-5017

journal_volume

66

pub_type

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