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Experience with image‐guided gastrostomy and gastrojejunostomy tubes in children and adolescents with primary psychiatric illness
Author(s) -
Korczak Daphne J.,
Connolly Bairbre,
Baron Tara,
Katzman Debra K.,
Bernstein Stacey
Publication year - 2007
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.20404
Subject(s) - gastrostomy , medicine , psychology , psychiatry , psychotherapist , pediatrics , surgery
Objective: To investigate the clinical experience with G/GJ tubes in child and adolescent psychiatry patients with disordered eating. Method: Health Records and Image‐Guided Therapy databases (1995–2005) identified patients with primary psychiatric illness who received radiologically placed G/GJ tubes for refeeding. Patient charts were reviewed for relevant data. Results: Nine patients who were 11–17 years old had G/GJ tubes inserted for refeeding as a result of their psychopathology. Prior to G/GJ tube insertion, adolescent inpatients were fed by NG/NJ tube for 0.5–7.3 months (mean 3.1 months) and subsequently fed by G/GJ tube for 5–60 months (mean 29 months) on an outpatient basis. No major complications or episodes of intentional tube manipulation/removal occurred. G/GJ tube feeding was effective in restoring and/or maintaining weight. Conclusion: Image‐guided enterostomy tubes are a safe and well‐tolerated method for feeding pediatric patients with psychiatric disorders and food refusal, and allow outpatient management of underlying psychopathology. © 2007 by Wiley Periodicals, Inc.