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. 2001 Mar;6(3):132-7.
doi: 10.1093/pch/6.3.132.

Characteristics and outcomes of children with enterostomy feeding tubes: A study of 325 children

D Benoit  1 , E E Wang, S H Zlotkin
Affiliations

Characteristics and outcomes of children with enterostomy feeding tubes: A study of 325 children

D Benoit et al. Paediatr Child Health. 2001 Mar.

Abstract
in English, French

Objectives: To examine the characteristics and outcomes of children with gastrostomy and gastrojejunostomy tubes inserted before age three years, and to identify the factors that predict removal of the enterostomy tubes within 12 months of insertion.

Design: Case review of a consecutive sample of 325 medical records.

Setting: A tertiary care paediatric hospital that is situated in a large metropolitan area.

Patients: All outpatients and inpatients from birth to 36 months of age who had an enterostomy tube inserted from 1994 to 1996.

Methods: No direct intervention was provided. In the subgroup of 203 patients with a follow-up period of at least 12 months after tube insertion, children whose tubes were removed within 12 months of insertion were compared with children who continued to receive tube feedings for 12 months or longer.

Results: At the time of tube insertion, the median age of patients was six months; 47% of the children for whom data were available were failing to thrive. Although 66 (21%) of 321 patients for whom data were available had their tubes removed, only 25 of the 203 (12%) patients with a follow-up period of 12 months or more had their tubes removed within 12 months of insertion. Children whose tubes were removed less than 12 months after insertion differed from children whose tubes were not removed with respect to medical diagnosis (no children with cerebral palsy had their tubes removed versus 33% of children with cancer who had their tube removed). Most children with failure to thrive at the time of tube insertion were also failing to thrive at the time of tube removal.

Conclusion: Children with cerebral palsy are not likely to have enterostomy tubes removed within one year of insertion.

OBJECTIFS :: Examiner les caractéristiques et les issues d’enfants gastrostomisés et gastrojéjunostomisés avant l’âge de trois ans et repérer les facteurs qui prédisent le retrait des sondes de stomie dans les douze mois suivant leur insertion.

MÉTHODES :: Examen des cas d’un échantillonnage de 325 dossiers médicaux consécutifs

EMPLACEMENT :: Hôpital pédiatrique de soins tertiaires situé dans une grande région métropolitaine

PATIENTS :: Tous les patients ambulatoires et hospitalisés de la naissance à 36 mois stomisés entre 1994 et 1996

MÉTHODOLOGIE :: Aucune intervention directe n’a été effectuée. Dans le sous-groupe de 203 patients ayant profité d’un suivi d’au moins 12 mois après l’insertion de sondes, les enfants dont les sondes avait été retirées dans les 12 mois suivant l’insertion étaient comparés à ceux alimentés par sondes pendant 12 mois ou plus.

RÉSULTATS :: Au moment de l’insertion des sondes, l’âge moyen des patients était de six mois, et 47 % des enfants pour lesquels des données étaient disponibles affichaient un retard staturopondéral. Bien que 66 (21 %) des 321 patients pour lesquels des données étaient disponibles avaient fait retirer leurs sondes, seulement 25 (12 %) des 203 patients ayant profité d’un suivi de 12 mois ou plus avaient fait retirer leurs sondes dans les 12 mois suivant l’insertion. Les enfants dont les sondes avaient été retirées moins de douze mois après l’insertion différaient de ceux dont les sondes n’avaient pas été retirées conformément au diagnostic médical (33 % des enfants cancéreux avaient fait retirer leur sonde par rapport à aucun de ceux qui étaient atteints de paralysie cérébrale). La plupart des enfants présentant un retard staturopondéral au moment de l’insertion des sondes en présentaient toujours un au moment de l’extraction des sondes.

CONCLUSION :: Les enfants atteints de paralysie cérébrale ne sont pas susceptibles de faire retirer leur sonde dans l’année suivant l’insertion.

Keywords: Cancer; Cerebral palsy; Childhood; Enteral tube feeding; Failure to thrive; Genetic disorders; Infancy.

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Figures

Figure 1)
Figure 1)
Retention of enterostomy tubes in children over time, according to diagnosis
See this image and copyright information in PMC

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