Fluoroscopically Guided Percutaneous Gastrostomy in Children

Eric S. Malden, Marshall E. Hicks, Daniel Picus, Michael D. Darcy, Thomas M. Vesely, Michael A. Kleinhoffer

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Percutaneous gastrostomy was performed in 27 patients with ages ranging from 7 months to 18 years (mean, 8 years). Patient weights ranged from 4.7 to 73 kg (mean, 25 kg). Access to the stomach was planned and achieved with only fluoroscopic guidance. The technical success rate was 100%. Major procedure-related complications including death, sepsis, hemorrhage, peritonitis, or early tube removal did not occur. The minor complication of local skin infection occurred in six patients. Twenty-six patients (96%) tolerated tube feedings well. Mean follow-up was 184 days, and median follow-up was 103 days. At 30 days, 26 patients (96%) were alive. Percutaneous gastrostomy under fluoroscopic guidance is a safe and effective method of obtaining long-term nonparenteral nutritional access in pediatric patients.

Original languageEnglish
Pages (from-to)673-677
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume3
Issue number4
DOIs
StatePublished - Jan 1 1992
Externally publishedYes

Keywords

  • Feeding tube, 72.1299
  • GE
  • Gastrostomy, 72.1299
  • Interventional procedures, in infants and children
  • LESP
  • PEG
  • gastroesophageal reflux
  • lower esophageal sphincter pressure
  • percutaneous endoscopic gastrostomy

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