Download PDF
Endoscopy 2002; 34(7): 539-542
DOI: 10.1055/s-2002-33226
Original Article
© Georg Thieme Verlag Stuttgart · New York

Jejunal Feeding Tubes via Gastrostomy in Children

T.  Doede 1 , S.  Faiss 2 , F.  Schier 1
  • 1Department of Pediatric Surgery, Klinikum der Friedrich-Schiller-Universität Jena, Jena, Germany
  • 2Department of Gastroenterology, Universitätsklinikum Benjamin Franklin, Berlin, Germany
This work was presented in part at the DDW meeting in San Diego May 21 - 24, 2000 and has been published in abstract form (Gastrointes Endosc 2000; 51: AB80)
Further Information

Publication History

Submitted 18 October 2001

Accepted after Revision 19 February 2002

Publication Date:
12 August 2002 (online)

Also available at
    Permissions and Reprints

Background: The implantation of a jejunal feeding tube, via percutaneous endoscopic gastrostomy (PEG), is a possible method for the treatment of inadequate oral feeding in patients who are affected by gastroesophageal reflux.
Patients and Methods: This study involves a retrospective analysis of all the patients up to 18 years of age, who were treated by means of jejunal feeding tubes at the Universitätsklinikum Benjamin Franklin, Berlin, between 15 September 1995 and 1 August 2000.
Results: In all, 76 patients received a PEG, and 12 of them were also given jejunal feeding tubes. One of these patients has experienced no complications. In the other 11 children, 52 changes of jejunal tube have been required. The most important reason for these changes was displacement of the tube into the gastrointestinal tract, resulting from technical problems with the connecting section.
Conclusions: Jejunal feeding tubes in patients with gastrostomy are an alternative to fundoplication and drugs. However, a high rate of changes is to be expected.

References

  • 1 Walker L G. L.L. Staton and the first successful gastrostomy in America.  Surg Gynecol Obstet. 1984;  158 387-388
    PubMedGoogle Scholar
  • 2 Olch P D, Harkins H N. A history of gastric surgery. In: Harkins HN, Nyhus LM (eds) Surgery of the stomach and duodenum. Boston; Little, Brown 1962: 1-20
    Google Scholar
  • 3 Verneuilh A. Observation de gastrostomie pratiqué avec succès pour un retrecessement cicatriciel infranchissable de l'oesophage.  Bull Acad Med Paris. 1876;  25 1023-1038
    PubMedGoogle Scholar
  • 4 Meissner F. Die entlastende Gastrostomie in der Paidochirurgie.  Zentralbl Chir. 1966;  91 105-111
    PubMedGoogle Scholar
  • 5 Witzel O. Zur Technik der Magenfistelanlegung.  Zentralbl Chir. 1891;  18 601-604
    PubMedGoogle Scholar
  • 6 Janeway H. Eine neue Gastrostomiemethode.  Münch Med Wschr. 1913;  60 1705-1707
    PubMedGoogle Scholar
  • 7 Stamm M. Gastrostomy by a new method.  Med News. 1894;  65 324-326
    PubMedGoogle Scholar
  • 8 Gauderer M W, Ponsky J L, Izant R J. Gastrostomy without laparotomy: a percutaneous endoscopic technique.  J Pediatr Surg. 1980;  15 872-875
    CrossrefPubMedGoogle Scholar
  • 9 Ponsky J L, Aszodi A. Percutaneous endoscopic jejunostomy.  Am J Gastroenterol. 1984;  79 113-116
    PubMedGoogle Scholar
  • 10 Abrahams P, Burkitt P F. Hiatus hernia and gastro-oesophageal reflux in children and adolescents with cerebral palsy.  Aust Paediatr J. 1970;  8 41-46
    PubMedGoogle Scholar
  • 11 Sondheimer J M, Morris B A. Gastroesophageal reflux among severely retarded children.  J Pediatr. 1979;  94 710-714
    PubMedGoogle Scholar
  • 12 Isch A, Rescorla F J, Scherer T. et al . The development of gastroesophageal reflux after percutaneous endoscopic gastrostomy.  J Pediatr Surg. 1997;  32 321-323
    CrossrefPubMedGoogle Scholar
  • 13 Grunow J E, Al-Hafidh A-S, Tunell W P. Gastroesophageal reflux following percutaneous endoscopic gastrostomy in children.  J Pediatr Surg. 1989;  24 42-45
    CrossrefPubMedGoogle Scholar
  • 14 Nissen R, Rossetti M. Die Behandlung von Hiatushernien und Reflux-Ösophagitis mit Gastropexie und Fundoplicatio. Stuttgart; Thieme 1959
    Google Scholar
  • 15 Vigneri S, Termini R, Leandro G. et al . A comparison of five maintenance therapies for reflux esophagitis.  N Engl J Med. 1995;  333 1106-1110
    CrossrefPubMedGoogle Scholar
  • 16 Chiba N, De Gara C J, Wilkinson J M, Hunt R M. Speed of healing and symptom relief in grade II to IV gastroesophageal reflux disease: a meta-analysis.  Gastroenterology. 1997;  112 1798-1810
    CrossrefPubMedGoogle Scholar
  • 17 Shike M, Schroy P, Ritchie M A. et al . Percutaneous endoscopic jejunostomy in cancer patients with previous gastric resection.  Gastrointest Endosc. 1987;  33 372-374
    CrossrefPubMedGoogle Scholar
  • 18 Doede T, Hoffmann K, Graffmann-Weschke K, Waldschmidt J. Ist die Fundoplicatio beim geistig schwerbehinderten Kind indiziert?.  Dtsch Ges Chir Kongressband. 1999;  116 406-408
    PubMedGoogle Scholar
  • 19 Albanese C T, Towbin R B, Ulman I. et al . Percutaneous gastrojejunostomy versus Nissen fundoplication for enteral feeding of the neurologically impaired child with gastroesophageal reflux.  J Pediatr. 1993;  123 371-375
    PubMedGoogle Scholar
  • 20 Faries M B, Rombeau J L. Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding.  World J Surg. 1999;  23 603-607
    PubMedGoogle Scholar
  • 21 DeLegge M H, Duckworth P F, McHenry L. et al . Percutaneous endoscopic gastrojejunostomy: a dual center safety and efficacy trial.  J Parenterol Enterol Nutr. 1995;  19 239-243
    PubMedGoogle Scholar
  • 22 Greenberg S B. Placement of a gastrojejunal tube system with a weighted distal end in children with surgical gastrostomies.  Pediatr Radiol. 1994;  24 173-174
    PubMedGoogle Scholar
  • 23 Beg M H, Ansari M M. Corrosive pyloric obstruction without oesophageal involvement in children - a report of two cases.  Ann Trop Paediatr. 1990;  10 223-225
    PubMedGoogle Scholar

T. Doede, M.D.

Department of Pediatric Surgery · Klinikum der Friedrich-Schiller-Universität Jena ·

Bachstrasse 18 · 07740 Jena · Germany

Fax: + 49-3641-934270

Email: doede@med.uni-jena.de