Advances and challenges of gastrostomy insertion in children.

World J Gastrointest Surg

Pediatric Surgery, Sheikh Khalifa Medical City, Abu Dhabi 767451, United Arab Emirates.

Published: September 2023

AI Article Synopsis

  • When children can't get enough nutrition through oral feeding, enteral tube feeding becomes essential for their growth and quality of life.
  • Nasogastric tube feeding is typically used for short-term needs, while gastrostomy feeding is more convenient for long-term use after 2-3 weeks, according to guidelines.
  • Various methods for inserting gastrostomies exist, and the choice depends on patient needs and team expertise, emphasizing a personalized, multidisciplinary approach.

Article Abstract

When oral feeding cannot provide adequate nutritional support to children, enteral tube feeding becomes a necessity. The overall aim is to ultimately promote appropriate growth, improve the patient's quality of life and increase carer satisfaction. Nasogastric tube feeding is considered appropriate on a short-term basis. Alternatively, gastrostomy feeding offers a more convenient and safer feeding option especially as it does not require frequent replacements, and carries a lower risk of complications. Gastrostomy tube feeding should be considered when nasogastric tube feeding is required for more than 2-3 wk as per the ESPEN guidelines on artificial enteral nutrition. Several techniques can be used to insert gastrostomies in children including endoscopic, image guided and surgical gastrostomy insertion whether open or laparoscopic. Each technique has its own advantages and disadvantages. The timing of gastrostomy insertion, device choice and method of insertion is dependent on the local expertise, patient requirements and family preference, and should be individualized with a multidisciplinary team approach. We aim to review gastrostomy insertion in children including indications, contraindications, history of gastrostomy, insertion techniques and complications.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600771PMC
http://dx.doi.org/10.4240/wjgs.v15.i9.1871DOI Listing

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