BACKGROUND: Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment. OBJECTIVE: To assess the safety and effectiveness of such treatment at a single center. MATERIALS AND METHODS: We conducted a 3-year retrospective feasibility study reporting on placement procedure, feeding plan, acute complications and effectiveness of this technique based on the evolution of the weight and weight-to-height during a period of 3 months. RESULTS: Eleven gastrostomies were performed in 11 children and young adults (3-20 years old) during oncological treatment. No major complications occurred. Two patients experienced minor side effects -- local leakage and granulation tissue formation -- both easily treated. In all cases, enteral feeding started within 24 h following the button placement. The patients were able to go home within 72 h. After 1 month, 64% (7/11) had gained weight, 18% (2/11) had maintained weight and 9% (1/11) had lost weight. After 3 months, 73% (8/11) had gained weight and 9% (1/11) had lost weight. CONCLUSION: The procedure and devices were well tolerated and mostly effective in our cohort.
BACKGROUND: Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment. OBJECTIVE: To assess the safety and effectiveness of such treatment at a single center. MATERIALS AND METHODS: We conducted a 3-year retrospective feasibility study reporting on placement procedure, feeding plan, acute complications and effectiveness of this technique based on the evolution of the weight and weight-to-height during a period of 3 months. RESULTS: Eleven gastrostomies were performed in 11 children and young adults (3-20 years old) during oncological treatment. No major complications occurred. Two patients experienced minor side effects -- local leakage and granulation tissue formation -- both easily treated. In all cases, enteral feeding started within 24 h following the button placement. The patients were able to go home within 72 h. After 1 month, 64% (7/11) had gained weight, 18% (2/11) had maintained weight and 9% (1/11) had lost weight. After 3 months, 73% (8/11) had gained weight and 9% (1/11) had lost weight. CONCLUSION: The procedure and devices were well tolerated and mostly effective in our cohort.
Authors: B Funaki; R Peirce; J Lorenz; P B Menocci; J D Rosenblum; C Straus; T V Ha; J A Leef; G X Zaleski Journal: AJR Am J Roentgenol Date: 2001-08 Impact factor: 3.959
Authors: D Osoba; N Murray; K Gelmon; H Karsai; M Knowling; A Shah; M McLaughlin; E Fetherstonhaugh; R Page; C A Bowman Journal: Oncology (Williston Park) Date: 1994-04 Impact factor: 2.990
Authors: Evan Cole Lewis; Bairbre Connolly; Michael Temple; Philip John; Peter G Chait; Jennifer Vaughan; Joao G Amaral Journal: Pediatr Radiol Date: 2008-07-12
Authors: Jaimie Bakish; Darren Hargrave; Nauman Tariq; Normand Laperriere; James T Rutka; Eric Bouffet Journal: Cancer Date: 2003-09-01 Impact factor: 6.860
Authors: Paul C Rogers; Steven J Melnick; Elena J Ladas; Jacqueline Halton; Jacques Baillargeon; Nancy Sacks Journal: Pediatr Blood Cancer Date: 2008-02 Impact factor: 3.167
Authors: Anne E Gill; Nicholas Gallagher; Barbara O McElhanon; Amy R Painter; Benjamin D Gold; C Matthew Hawkins Journal: Pediatr Radiol Date: 2018-02-08