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Medical, surgical, and health outcomes of gastrostomy feeding
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Craig, G. M., Carr, L. J., Cass, H., Hastings, Richard P., Lawson, M., Reilly, S., Ryan, M., Townsend, J. and Spitz, L. (2006) Medical, surgical, and health outcomes of gastrostomy feeding. Developmental Medicine & Child Neurology, Volume 48 (Number 05). pp. 353-360. doi:10.1017/S0012162206000776 ISSN 0012-1622.
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Official URL: http://dx.doi.org/10.1017/S0012162206000776
Abstract
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.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||
Journal or Publication Title: | Developmental Medicine & Child Neurology | ||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||
ISSN: | 0012-1622 | ||||
Official Date: | May 2006 | ||||
Dates: |
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Volume: | Volume 48 | ||||
Number: | Number 05 | ||||
Page Range: | pp. 353-360 | ||||
DOI: | 10.1017/S0012162206000776 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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