ArticleNutrients2019
Gastrostomy Placement and Management in Children: A Single-Center Experience.
Article in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Antibiotic prophylaxis for percutaneous endoscopic gastrostomy in pediatric patients: a meta-analysis.Pediatric surgery international · 2022Pooled it
- Feeding challenges faced by Brazilian children and adolescents with infantile neuroaxonal dystrophy (INAD) adversely impact nutrient intake and nutritional status.Einstein (Sao Paulo, Brazil) · 2026Article
- Prevalence of Gastrostomy-Related Procedures in Polish Children: A Longitudinal Nationwide Analysis.Journal of clinical medicine · 2025Article
- Feeding with Care: Caregiver Perspectives on Pediatric Gastrostomy Tubes.Children (Basel, Switzerland) · 2025Article
- Gastrostomy in Children: A 5-Year Single Tertiary Center Experience.Medicina (Kaunas, Lithuania) · 2025Article
- Development and Validation of a Questionnaire to Measure Feeding Challenges and Nutritional Problems Associated With Long-Term Enteral Nutrition Among Children With Disabilities.Risk management and healthcare policy · 2025Article
- Simultaneous surgery for gastrostomy and laryngotracheal separation in a patient with Tay‒Sachs disease.Human genome variation · 2024Article
- Experiences of Parents and Caregivers of Children Who Underwent Gastrostomy Tube Insertion.Journal of patient experience · 2024Article
- Complications of Percutaneous and Surgical Gastrostomy Placements in Children: a Single-Centre Series.JPGN reports · 2023Article
- Complications of Gastrostomy and Gastrojejunostomy: The Prevalence in Children.Pediatric gastroenterology, hepatology & nutrition · 2023Article
- Clinical management and diagnosis of CLN2 disease: consensus of the Brazilian experts group.Arquivos de neuro-psiquiatria · 2023Article
- Continuous Glucose Monitoring in Enterally Fed Children with Severe Central Nervous System Impairment.Nutrients · 2023Observational
- A Pragmatic Approach to Assessment of Chronic and Recurrent Pain in Children with Severe Neurologic Impairment.Children (Basel, Switzerland) · 2022Article
- Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis.Medicina (Kaunas, Lithuania) · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo prevent malnutrition and food aspiration in children with chronic neuromuscular problems, enteral nutrition provided by gastrostomy is recommended. Long-term follow-up data about surgical and medical complications of PEG are available, but few papers have addressed all of the issues in the same series.
methodsThis retrospective study enrolled patients under 18 years who had a gastrostomy tube placed at our institution between 2003 and 2017. The aim is to evaluate outcomes after gastrostomy placement, focusing both on surgical complications (early and late), and its effect on their nutritional status, on the prevention of pulmonary infections, and their parents' opinion.
resultsEighty-four gastrostomies were placed in total (35 F; 49 M). Seventy-seven patients had a severe neurocognitive impairment (GMFCS 5). The principal indication for gastrostomy was severe dysphagia (53.3%). No gastrostomy-related death was observed. Early surgical complications were observed in five of 84 (5,9%) patients; late complications were observed in 15 of 84 (17.8%) patients. Twenty-two patients were diagnosed with subsequent gastroesophageal reflux; five patients developed dumping syndrome (6%). Complete medical follow-up data were available for 45 patients. A progressive improvement of nutritional status was observed in 29 patients, and 11 maintained the same percentile; the occurrence of respiratory infections and need for hospitalization decreased. In 90% of cases, parents were fully satisfied with the g-tube.
conclusionThis study confirms the positive nutritional outcomes of gastrostomy-tube with an associated small risk of surgical complications and a reduction in the number of respiratory infections, with most parents scoring their experience as positive.
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