Complications associated with image-guided gastrostomy and gastrojejunostomy tubes in children.


OBJECTIVE:To evaluate the complications associated with the image-guided insertion of gastrostomy (G) and gastrojejunostomy (GJ) tubes in children, performed by the retrograde percutaneous route. METHODS:A convenience sample of 208 charts of 840 patients recorded as having G and/or GJ tubes placed by the interventional radiology service in a 4-year period (1995-1999) at the Hospital for Sick Children in Toronto, Canada, were selected for review. Complications were categorized as major (including subcutaneous abscess, peritonitis, septicemia, gastrointestinal bleeding, and death) or minor. RESULTS:In total, 253 tubes (208 G tubes, 41 GJ tubes, 4 G and GJ tubes) were placed in the 208 patients reviewed. The median age at the time of insertion was 15 months (range: 7 days-18 years). The most common diagnostic category was neurologic disease (47%). The main indications for tube insertion were recorded as failure to thrive (57%) and risk of aspiration (47%). Major complications were seen in 5% of patients. Peritonitis was noted in 3%, and there was 1 death related to tube insertion (0.4%). Minor complications were found in 73% of patients, including tube dislodgement (37%), tube leakage (25%), and G-tube site skin infection (25%). GJ tubes had a higher rate than G tubes of obstruction, migration, dislodgement, leakage, and intussusception. Site infection, gastroesophageal reflux, and bleeding from the site were seen less frequently in patients with GJ tubes compared with G tubes. CONCLUSION:G and GJ tubes placed by the image-guided retrograde percutaneous method are associated with a wide range of complications. The majority of these are minor and are predominantly related to tube maintenance, but major complications, including death, do occur.






Friedman JN,Ahmed S,Connolly B,Chait P,Mahant S




Has Abstract


2004-08-01 00:00:00














  • A successful city-wide smoke detector giveaway program.

    abstract::Each year, 5,000 Americans die and 300,000 are hospitalized as a result of 2.8 million residential fires. Almost all house fires allow time for safe exit if an early warning is given. Smoke detectors are an effective, reliable, and inexpensive method of providing such warning. After an upsurge of deaths related to fir...


    pub_type: 杂志文章


    authors: Gorman RL,Charney E,Holtzman NA,Roberts KB

    更新日期:1985-01-01 00:00:00

  • Back to sleep: can we influence child care providers?

    abstract:OBJECTIVE:Despite the fact that 20% of sudden infant death syndrome (SIDS) deaths occur in child care settings, many child care providers continue to be unaware of the association of SIDS and infant sleep position and/or are misinformed as to the risks and benefits of the various sleep positions. The objective of this ...


    pub_type: 杂志文章


    authors: Moon RY,Oden RP

    更新日期:2003-10-01 00:00:00

  • Relationship between age of ear piercing and keloid formation.

    abstract:OBJECTIVE:Keloids occur commonly after trauma to the skin, with ear piercing being a well-known inciting event. We surveyed 32 patients with keloids resulting from ear piercing, to examine a potential relationship between age of piercing and keloid formation. METHODS:A total of 32 consecutive patients completed a surv...


    pub_type: 杂志文章


    authors: Lane JE,Waller JL,Davis LS

    更新日期:2005-05-01 00:00:00

  • Diaper need and its impact on child health.

    abstract:BACKGROUND:This is the first peer-reviewed study to quantify diaper need, propose a method to measure diaper need, and explore psychosocial variables associated with diaper need in a large sample of urban, low-income families. METHODS:Data were derived from a cross-sectional study in 877 pregnant and parenting women. ...


    pub_type: 杂志文章


    authors: Smith MV,Kruse A,Weir A,Goldblum J

    更新日期:2013-08-01 00:00:00

  • Lack of vancomycin-associated nephrotoxicity in newborn infants: a case-control study.

    abstract:OBJECTIVE:The purpose of this study was to compare the incidence of nephrotoxicity, defined as doubling of baseline serum creatinine concentration, in newborn infants with peak vancomycin serum concentrations 40 microg/mL. A secondary...


    pub_type: 杂志文章


    authors: Bhatt-Mehta V,Schumacher RE,Faix RG,Leady M,Brenner T

    更新日期:1999-04-01 00:00:00

  • 3% Hypertonic Saline Versus Normal Saline in Inpatient Bronchiolitis: A Randomized Controlled Trial.

    abstract:BACKGROUND AND OBJECTIVES:Bronchiolitis, the most common reason for hospitalization in children younger than 1 year in the United States, has no proven therapies effective beyond supportive care. We aimed to investigate the effect of nebulized 3% hypertonic saline (HS) compared with nebulized normal saline (NS) on leng...


    pub_type: 杂志文章,随机对照试验


    authors: Silver AH,Esteban-Cruciani N,Azzarone G,Douglas LC,Lee DS,Liewehr S,Nazif JM,Agalliu I,Villegas S,Rhim HJ,Rinke ML,O'Connor K

    更新日期:2015-12-01 00:00:00

  • Severe Central Sleep Apnea in Vici Syndrome.

    abstract::Vici syndrome is a rare congenital multisystem disorder due to recessive mutations in the key autophagy regulator EPG5. Vici syndrome is characterized by agenesis of the corpus callosum, hypopigmentation, immunodeficiency, cataracts, and cardiomyopathy, with variable additional multisystem involvement. Here we report ...


    pub_type: 杂志文章


    authors: El-Kersh K,Jungbluth H,Gringras P,Senthilvel E

    更新日期:2015-11-01 00:00:00

  • Probability of coincident vaccination in the 24 or 48 hours preceding sudden infant death syndrome death in Australia.

    abstract:OBJECTIVE:Vaccination does not cause sudden infant death syndrome (SIDS). However, SIDS peaks at 2 months of age, when vaccination encounters are frequent. There are no published estimates using population data on age of death and immunization coverage to indicate to practitioners how often coincident vaccination may o...


    pub_type: 杂志文章


    authors: Brotherton JM,Hull BP,Hayen A,Gidding HF,Burgess MA

    更新日期:2005-06-01 00:00:00

  • Effects of environmental exposures on the cardiovascular system: prenatal period through adolescence.

    abstract::Exposures to drugs, chemical and biological agents, therapeutic radiation, and other factors before and after birth can lead to pediatric or adult cardiovascular anomalies. Furthermore, nutritional deficiencies in the perinatal period can cause cardiovascular anomalies. These anomalies may affect heart structure, the ...


    pub_type: 杂志文章,评审


    authors: Mone SM,Gillman MW,Miller TL,Herman EH,Lipshultz SE

    更新日期:2004-04-01 00:00:00

  • Flunisolide aerosol for treatment of severe, chronic asthma in steroid-independent children.

    abstract::The efficacy and safety of flunisolide aerosol were studied in 46 steroid-independent children with asthma inadequately controlled by nonsteroid drugs. This was a double-blind, placebo-controlled, parallel study lasting eight weeks. Patients were randomly assigned either flunisolide by inhalation, 0.5 mg twice a day, ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Meltzer EO,Kemp JP,Orgel HA,Izu AE

    更新日期:1982-03-01 00:00:00

  • Toward an Understanding of Advance Care Planning in Children With Medical Complexity.

    abstract:BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) often have multiple life-limiting conditions with no unifying diagnosis and an unclear prognosis and are at high risk for morbidity and mortality. Advance care planning (ACP) conversations need to be uniquely tailored to this population. Our primary objec...


    pub_type: 杂志文章


    authors: Orkin J,Beaune L,Moore C,Weiser N,Arje D,Rapoport A,Netten K,Adams S,Cohen E,Amin R

    更新日期:2020-03-01 00:00:00

  • Postnatal serum insulin-like growth factor I deficiency is associated with retinopathy of prematurity and other complications of premature birth.

    abstract:OBJECTIVE:Insulin-like growth factor I (IGF-I) is necessary for normal development of retinal blood vessels in mice and humans. Because retinopathy of prematurity (ROP) is initiated by abnormal postnatal retinal development, we hypothesized that prolonged low IGF-I in premature infants might be a risk factor for ROP. ...


    pub_type: 杂志文章


    authors: Hellström A,Engström E,Hård AL,Albertsson-Wikland K,Carlsson B,Niklasson A,Löfqvist C,Svensson E,Holm S,Ewald U,Holmström G,Smith LE

    更新日期:2003-11-01 00:00:00

  • Severe renal osteodystrophy without elevated serum immunoreactive parathyroid hormone concentrations in hypomagnesemia due to renal magnesium wasting.

    abstract::An 8 1/2-year-old girl presented with a long history of seizures, growth retardation, muscle weakness, gait disturbance, and hearing loss. Her evaluation revealed chronic moderate renal failure (serum creatinine 2.2 mg/dL), severe hypocalcemia (5 mg/dL), hyperphosphatemia (8.1 mg/dL), hypomagnesemia (1.5 mg/dL), incre...


    pub_type: 杂志文章


    authors: Zelikovic I,Dabbagh S,Friedman AL,Goelzer ML,Chesney RW

    更新日期:1987-03-01 00:00:00

  • Maternal characteristics and perception of temperament associated with infant TV exposure.

    abstract:OBJECTIVE:This study examines the development of television (TV) behaviors across the first 18 months of life and identifies maternal and infant predictors of infant TV exposure. METHODS:We used longitudinal TV exposure, maternal sociodemographic, and infant temperament data from 217 African-American mother-infant pai...


    pub_type: 杂志文章


    authors: Thompson AL,Adair LS,Bentley ME

    更新日期:2013-02-01 00:00:00

  • Effect of furosemide on the clinical course of transient tachypnea of the newborn.

    abstract::The effect of furosemide on the course of transient tachypnea of the newborn was evaluated in a controlled, prospective study. Fifty infants with transient tachypnea of the newborn were randomly assigned to control or treatment groups. Those in the treatment group were given furosemide, 2 mg/kg orally, at the time of ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Wiswell TE,Rawlings JS,Smith FR,Goo ED

    更新日期:1985-05-01 00:00:00

  • Interventions To Prevent Retinopathy of Prematurity: A Meta-analysis.

    abstract:CONTEXT:The effectiveness of many interventions aimed at reducing the risk of retinopathy has not been well established. OBJECTIVE:To estimate the effectiveness of nutritional interventions, oxygen saturation targeting, blood transfusion management, and infection prevention on the incidence of retinopathy of prematuri...


    pub_type: 杂志文章,meta分析,评审


    authors: Fang JL,Sorita A,Carey WA,Colby CE,Murad MH,Alahdab F

    更新日期:2016-04-01 00:00:00

  • A prospective multicenter study of cervical spine injury in children.

    abstract:OBJECTIVE:Pediatric victims of blunt trauma have developmental and anatomic characteristics that can make it difficult to assess their risk of cervical spine injury (CSI). Previous reports, all retrospective in nature, have not identified any cases of CSI in either children or adults in the absence of neck pain, neurol...


    pub_type: 杂志文章,多中心研究


    authors: Viccellio P,Simon H,Pressman BD,Shah MN,Mower WR,Hoffman JR,NEXUS Group.

    更新日期:2001-08-01 00:00:00

  • Risk Stratification to Decrease Unnecessary Diagnostic Imaging for Acute Appendicitis.

    abstract:BACKGROUND:There has been an increase in the use of imaging modalities to diagnose appendicitis despite evidence that can help identify children at especially high or low risk of appendicitis who may not benefit. We hypothesized that the passive diffusion of a standardized care pathway (including diagnostic imaging rec...


    pub_type: 临床试验,杂志文章


    authors: Depinet H,von Allmen D,Towbin A,Hornung R,Ho M,Alessandrini E

    更新日期:2016-09-01 00:00:00

  • Is my child normal yet? Correlates of vulnerability.

    abstract::There are some children whose parents believe them to be unusually susceptible to medical or developmental problems--"vulnerable"--despite a lack of objective evidence of any difficulty. The "vulnerable child syndrome" refers to a constellation of behaviors that are thought to develop as a result of this excessive par...


    pub_type: 杂志文章


    authors: Perrin EC,West PD,Culley BS

    更新日期:1989-03-01 00:00:00

  • Bullying among young adolescents: the strong, the weak, and the troubled.

    abstract:OBJECTIVES:Bullying and being bullied have been recognized as health problems for children because of their association with adjustment problems, including poor mental health and more extreme violent behavior. It is therefore important to understand how bullying and being bullied affect the well-being and adaptive func...


    pub_type: 杂志文章


    authors: Juvonen J,Graham S,Schuster MA

    更新日期:2003-12-01 00:00:00

  • Continuity of pediatric ambulatory care in a universally insured population.

    abstract:OBJECTIVE:To describe the prevalence of continuity of care over a 5-year period in a complete cohort of urban children universally insured for medical care provided under fee-for-service reimbursement. METHOD:All children enrolled in the study were born to women living in metropolitan Winnipeg between July 1, 1987 and...


    pub_type: 杂志文章


    authors: Mustard CA,Mayer T,Black C,Postl B

    更新日期:1996-12-01 00:00:00

  • Weight and menstrual function in patients with eating disorders and cystic fibrosis.

    abstract::Many patients with eating disorders have menstrual dysfunction. In patients with anorexia nervosa, amenorrhea has been linked to weight loss. However, many patients with bulimia nervosa, even those of average or greater than average weight, also experience menstrual abnormalities, including amenorrhea. It was hypothes...


    pub_type: 杂志文章


    authors: Weltman EA,Stern RC,Doershuk CF,Moir RN,Palmer K,Jaffe AC

    更新日期:1990-03-01 00:00:00

  • Restless legs syndrome: prevalence and impact in children and adolescents--the Peds REST study.

    abstract:OBJECTIVES:Restless legs syndrome, a common neurologic sleep disorder, occurs in 5% to 10% of adults in the United States and Western Europe. Although approximately 25% of adults with restless legs syndrome report onset of symptoms between the ages of 10 and 20 years, there is very little literature looking directly at...


    pub_type: 杂志文章


    authors: Picchietti D,Allen RP,Walters AS,Davidson JE,Myers A,Ferini-Strambi L

    更新日期:2007-08-01 00:00:00

  • Impact of very preterm birth on health care costs at five years of age.

    abstract:OBJECTIVE:We assessed the effects of very preterm birth (gestational age <32 weeks or birth weight <1501 g) and prematurity-related morbidities on health care costs during the fifth year of life. METHODS:The study population consisted of 588 very preterm children and 176 term control subjects born in 2001-2002. Costs ...


    pub_type: 杂志文章


    authors: Korvenranta E,Lehtonen L,Rautava L,Häkkinen U,Andersson S,Gissler M,Hallman M,Leipälä J,Peltola M,Tammela O,Linna M,PERFECT Preterm Infant Study Group.

    更新日期:2010-05-01 00:00:00

  • Intestinal parasite screening in internationally adopted children: importance of multiple stool specimens.

    abstract:OBJECTIVE:Our goal was to determine the prevalence of intestinal parasites in internationally adopted children, to examine factors associated with infection, and to determine if evaluating multiple stool specimens increases the yield of parasite identification. METHODS:We evaluated internationally adopted children wit...


    pub_type: 杂志文章


    authors: Staat MA,Rice M,Donauer S,Mukkada S,Holloway M,Cassedy A,Kelley J,Salisbury S

    更新日期:2011-09-01 00:00:00

  • Improving Health and Safety at Camp.

    abstract::The American Academy of Pediatrics has created recommendations for health appraisal and preparation of young people before participation in day, resident, or family camps and to guide health and safety practices at camp. These recommendations are intended for parents and families, primary health care providers, and ca...


    pub_type: 杂志文章,实务指引


    authors: Ambrose MJ,Walton EA,COUNCIL ON SCHOOL HEALTH.

    更新日期:2019-07-01 00:00:00

  • Effect of hospital characteristics on outcomes from pediatric cardiopulmonary resuscitation: a report from the national registry of cardiopulmonary resuscitation.

    abstract:OBJECTIVE:Cardiac arrest is uncommon among pediatric patients. Prehospital data demonstrate differences in care processes between children and adults receiving cardiopulmonary resuscitation and advanced life support. We sought to evaluate whether children receiving in-hospital cardiopulmonary resuscitation would attain...


    pub_type: 杂志文章


    authors: Donoghue AJ,Nadkarni VM,Elliott M,Durbin D,American Heart Assocation National Registry of Cardiopulmonary Resuscitation Investigators.

    更新日期:2006-09-01 00:00:00

  • Allergy to beta-lactam antibiotics in children.

    abstract:BACKGROUND:Skin tests with soluble beta-lactams can be used to diagnose immediate and delayed hypersensitivity (HS) reactions to beta-lactam antibiotics. Very few studies have been performed with children with suspected beta-lactam allergy. In these studies, immediate HS to beta-lactams was diagnosed by skin tests in 4...


    pub_type: 杂志文章


    authors: Ponvert C,Le Clainche L,de Blic J,Le Bourgeois M,Scheinmann P,Paupe J

    更新日期:1999-10-01 00:00:00

  • A multiple-source method for studying the prevalence of developmental disabilities in children: the Metropolitan Atlanta Developmental Disabilities Study.

    abstract::The Metropolitan Atlanta Developmental Disabilities Study is the first US, population-based epidemiologic study of the prevalence of mental retardation, cerebral palsy, hearing impairment, and visual impairment among school-age children. The study population consisted of children who were 10 years of age between 1985 ...


    pub_type: 杂志文章


    authors: Yeargin-Allsopp M,Murphy CC,Oakley GP,Sikes RK

    更新日期:1992-04-01 00:00:00

  • Clinical features and epidemiology of invasive Kingella kingae infections in southern Israel.

    abstract:OBJECTIVE:To characterize the clinical spectrum and epidemiology of invasive Kingella kingae infections in children living in southern Israel. DESIGN:Five-year observational, descriptive study. POPULATION:Children in whom K. kingae was isolated from blood or other normally sterile body fluid. RESULTS:Twenty-five pat...


    pub_type: 杂志文章


    authors: Yagupsky P,Dagan R,Howard CB,Einhorn M,Kassis I,Simu A

    更新日期:1993-12-01 00:00:00