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Text
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Citation List Month
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URL Address
<a href="http://doi.org/10.1017/S0012162206000776" target="_blank" rel="noreferrer">http://doi.org/10.1017/S0012162206000776</a>
Dublin Core
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Title
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Medical, surgical, and health outcomes of gastrostomy feeding
Publisher
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Developmental Medicine And Child Neurology
Date
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2006
Subject
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Child; Female; Humans; Male; Prospective Studies; Health Status; Psychology; adolescent; Preschool; infant; Nutritional Status; Nutritional Failure; Anthropometry; disabled children; Cognition Disorders/epidemiology; Diet Records; Gastrostomy/statistics & numerical data; Motor Skills Disorders/epidemiology; Postoperative Complications/epidemiology
Creator
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Craig GM; Carr LJ; Cass H; Hastings RP; Lawson M; Reilly S; Ryan M; Townsend J; Spitz L
Description
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A prospective controlled study with repeated measures before and after surgery examined the medical, surgical, and health outcomes of gastrostomy for children with disabilities at a tertiary paediatric referral centre in the North Thames area, UK. Anthropometric measures included weight, mid-upper-arm and head circumference. Five-day prospective food diaries were completed and data on physical health and surgical outcomes recorded. Seventy-six children participated and underwent gastrostomy (44 males, 32 females; median age 3 y 4 mo, range 4 mo-17 y 5 mo), and 35/76 required an anti-reflux procedure. Categories of disability were: cerebral palsy (32/76), syndrome of chromosomal or other genetic origin (25/76), slowly progressive degenerative disease (11/76), and unconfirmed diagnosis (8/76). Most children had gross motor difficulties (99%) and were non-ambulant (83%). Oromotor problems were identified in 78% of children, 69% aspirated, and 65% were fed nasogastrically before surgery. The mean weight before surgery was -2.84 standard deviation score (SDS; SD 2.21, range -9.8 to 3.4). Two-thirds of children achieved catch-up growth postoperatively: weight-for-age (mean difference 0.51 SDS, 95% CI 0.23-0.79, p=0.001) and mid-upper arm circumference (mean difference 1.12 cm, 95% confidence interval 0.50-1.75, p=0.001). Health gains included a reduction in drooling, secretions, vomiting, and constipation. Major surgical complications were found in 13/74 children. The study provides evidence that catch-up growth and health gains are possible following gastrostomy.
2006
Identifier
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<a href="http://doi.org/10.1017/S0012162206000776" target="_blank" rel="noreferrer">10.1017/S0012162206000776</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2006
Adolescent
Anthropometry
Backlog
Carr LJ
Cass H
Child
Cognition Disorders/epidemiology
Craig GM
Developmental Medicine and Child Neurology
Diet Records
Disabled Children
Female
Gastrostomy/statistics & numerical data
Hastings RP
Health Status
Humans
Infant
Journal Article
Lawson M
Male
Motor Skills Disorders/epidemiology
Nutritional Failure
Nutritional Status
Postoperative Complications/epidemiology
Preschool
Prospective Studies
Psychology
Reilly S
Ryan M
Spitz L
Townsend J