One-step percutaneous gastrojejunostomy in early infancy

Journal of Pediatric Gastroenterology and Nutrition
Laurent MichaudFrédéric Gottrand

Abstract

In certain conditions that obviate the use of gastric feedings, the insertion of a jejunal feeding tube via gastrostomy constitutes an alternative to jejunostomy but requires a preexisting gastrostomy. Our aim was to assess a new technique of 1-step gastrojejunal tube insertion through a de novo gastrostomy. A total of 3 infants between 3 and 7 months old and weighing between 4.1 and 5.4 kg had a gastrojejunal feeding tube inserted using a 16-CH French introducer percutaneous endoscopic gastrostomy kit and a transgastric-jejunal feeding tube. No technical difficulties occurred and the gastrojejunal feeding tube was placed successfully in the 3 patients, the total procedure lasting 15 to 20 minutes. Enteral feeding was started within 4 to 6 hours of the procedure. Neither immediate (<24 hours) nor late complications related to the gastrojejunostomy occurred. Nissen fundoplication was performed in 2 of our patients at 12 and 15 months of age, respectively. The gastrojejunostomy tube was still in place in the third patient at age 15 months. Our first experience suggests that 1-step endoscopic placement of a transgastric-jejunal feeding tube without a preexisting gastrostomy tract is feasible in young and low-weight infants.

References

Dec 1, 1984·Gastrointestinal Endoscopy·E B Gottfried, A B Plumser
Feb 6, 2002·Archives of Disease in Childhood·P GodboleM D Stringer
Feb 27, 2004·Pediatric Surgery International·M LimaF Bernardi
Mar 16, 2004·Journal of Pediatric Surgery·Saleem IslamRonald B Hirschl

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Citations

Jan 19, 2016·Journal of Pediatric Surgery·Dalis BelshaSean Marven
Sep 25, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chinwendu OnwubikoC Jason Smithers
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Maireade E McSweeney, C Jason Smithers
Nov 29, 2020·Journal of Pediatric Surgery·Claire GerallVincent Duron
Jun 23, 2021·Journal of Pediatric Gastroenterology and Nutrition·Matjaž HomanJorge Amil-Dias
Nov 18, 2021·Journal of Veterinary Internal Medicine·Melanie D Craven

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