Laparoscopic gastrostomy in pediatric oncology patients Journal Article
| Authors: | Shalkow, J.; Su, W.; Mazziotti, M.; Wexler, L.; La Quaglia, M. P. |
| Article Title: | Laparoscopic gastrostomy in pediatric oncology patients |
| Abstract: | Background/Purpose: Long term enterai nutritional support is frequently necessary in pediatric oncology patients because of cancer cachexia, chemotherapy- or radiation-induced mucositis, and other treatment-related toxicity. We report our experience with laparoscopy-assisted percutaneous gastrostomies (LAPG). Methods: Fifty consecutive patients with LAPG tube placement were reviewed from January 1999 to April 2003. Results: Thirty-one percent of patients had previously undergone abdominal operations, and 36% were bone marrow transplant recipients. Twenty-six percent had platelet counts less than 80 K/mcL, and 20% bad leukocyte counts less than 3 K/mcL. Four patients (8%) were converted to open gastrostomy. Tube feedings began within six hours postoperatively and achieved goal feed within 72 hours. There were no intraoperative complications. Two patients had gastrostomy site infection, and 2 others had tube dislodgement requiring subsequent open gastrostomy. Conclusions: LAPG is a safe and effective method to establish longterm enterai access in pediatric oncology patients, even in patients with previous abdominal operations or following bone marrow transplant. It should be considered when enterai access is required in these children. |
| Keywords: | adolescent; adult; child; clinical article; acute granulocytic leukemia; percutaneous endoscopic gastrostomy; undifferentiated carcinoma; laparoscopic surgery; retinoblastoma; chronic myeloid leukemia; acute lymphoblastic leukemia; childhood cancer; ewing sarcoma; infant; neuroblastoma; lymphoma; surgical infection; thrombocyte count; nasopharynx carcinoma; thyroid carcinoma; acquired immune deficiency syndrome; leukocyte count; abdominal surgery; leiomyosarcoma; rhabdomyosarcoma; germ cell tumor; tube feeding; combined immunodeficiency; head and neck tumor; nephroblastoma; sickle cell anemia; wiskott aldrich syndrome; hemophagocytic lymphohistiocytosis; human; male; female; priority journal; article; cerebral palsy |
| Journal Title: | Pediatric Endosurgery and Innovative Techniques |
| Volume: | 8 |
| Issue: | 3 |
| ISSN: | 1092-6410 |
| Publisher: | Mary Ann Liebert, Inc |
| Date Published: | 2004-09-30 |
| Start Page: | 234 |
| End Page: | 240 |
| Language: | English |
| DOI: | 10.1089/pei.2004.8.234 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Pediatr. Endosurg. Innovative Techn. -- Export Date: 16 June 2014 -- CODEN: PEITF -- Source: Scopus |
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3Shalkow -
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411La Quaglia -
191Wexler
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