Surgical Gastrostomy in Pediatric Patients Undergoing Cardiac Surgery.

The Journal of Surgical Research
Amanda R JensenBrian W Gray

Abstract

Practices of performing gastrostomy tubes vary across institutions for patients undergoing cardiac surgery. We aim to elucidate the outcomes of gastrostomy and the duration of feeding assistance in these patients. Patients undergoing cardiac surgery (CS) at our institution from 2013 to 2017 were retrospectively reviewed using the Society of Thoracic Surgery database. A cohort of non-CS patients undergoing gastrostomy tube (g-tube) placement from 2013 to 2015 was used as control. Technical complications and postoperative feeding intolerance were analyzed. Duration of need for g-tube was also analyzed in patients undergoing CS. The CS group had 144 patients, and the non-CS group had 677 patients. CS patients had a higher incidence of feeding intolerance (18.8% versus 5.6%, P < 0.001) and took longer to attain full feeds (median of 2 versus 1 d, P < 0.001), and this was confirmed on propensity matched analysis. In addition, technical g-tube complications were similar in the two groups. No mortality in CS was attributed to the g-tube. 58% of patients undergoing CS were able to wean from g-tube feeding by 6-12 mo after g-tube placement. G-tube placement in patients undergoing CS by any technique is safe without increased complicatio...Continue Reading

References

May 11, 2010·Neonatology·Girija NatarajanSanjeev Aggarwal
Aug 16, 2012·Congenital Heart Disease·Julie SlickerUNKNOWN Feeding Work Group of the National Pediatric Cardiology Quality Improvement Collaborative
Feb 2, 2013·Current Opinion in Cardiology·Barbara Medoff-Cooper, Chitra Ravishankar
Oct 29, 2013·The Journal of Pediatrics·Garick D HillPeter J Bartz
Nov 12, 2013·The Journal of Pediatrics·Linda M LambertUNKNOWN Pediatric Heart Network Investigators
Jun 3, 2015·Congenital Heart Disease·Magdy M El-Sayed AhmedDilip S Nath
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Maireade E McSweeney, C Jason Smithers
Sep 21, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Syed Tariq KhalilT Hang Nghiem-Rao
Nov 18, 2017·Congenital Heart Disease·Daniel E EhrmannJon Kaufman
Dec 6, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lyvonne N TumeUNKNOWN members of the European Society of Pediatric and Neonatal Intensive Care Pediatric and Congenital Cardiac Intensive Care & M

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