Medical, surgical, and health outcomes of gastrostomy feeding

Title

Medical, surgical, and health outcomes of gastrostomy feeding

Creator

Craig GM; Carr LJ; Cass H; Hastings RP; Lawson M; Reilly S; Ryan M; Townsend J; Spitz L

Publisher

Developmental Medicine And Child Neurology

Date

2006

Subject

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

Description

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

Rights

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

Journal Article

Citation List Month

Backlog

Pages

353-360

Issue

5

Volume

48

Citation

Craig GM; Carr LJ; Cass H; Hastings RP; Lawson M; Reilly S; Ryan M; Townsend J; Spitz L, “Medical, surgical, and health outcomes of gastrostomy feeding,” Pediatric Palliative Care Library, accessed September 26, 2021, https://pedpalascnetlibrary.omeka.net/items/show/13646.

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