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lüll Limitations and uses of gastrojejunal feeding tubes Godbole P; Margabanthu G; Crabbe DC; Thomas A; Puntis JW; Abel G; Arthur RJ; Stringer MDArch Dis Child 2002[Feb]; 86 (2): 134-7BACKGROUND: Gastrostomy feeding is a well established alternative method to long term nasogastric tube feeding. Many such patients have gastro-oesophageal reflux (GOR) and require a fundoplication. A transgastric jejunal tube is an alternative when antireflux surgery fails, or is hazardous or inappropriate. AIMS: To review experience of gastrojejunal (G-J) feeding over six years in two regional centres in the UK. METHODS: Retrospective review of all children who underwent insertion of a G-J feeding tube. RESULTS: There were 18 children, 12 of whom were neurologically impaired. G-J tubes were inserted at a median age of 3.1 years (range 0.6-14.7) because of persistent symptoms after Nissen fundoplication (n = 8) or symptomatic GOR where fundoplication was inappropriate. Four underwent primary endoscopic insertion of the G-J tube; the remainder had the tube inserted via a previous gastrostomy track. Seventeen showed good weight gain. There was one insertion related complication. During a median follow up of 10 months (range 1-60), four experienced recurrent aspiration, bilious aspirates, and/or diarrhoea. There were 65 tube related complications in 14 patients, necessitating change of the tube at a median of 74 days. Jejunal tube migration was the commonest problem. Five died from complications of their underlying disease. CONCLUSIONS: Although G-J feeding tubes were inserted safely and improved nutritional status, their use was associated with a high rate of morbidity. Surgical alternatives such as an Roux-en-Y jejunostomy may be preferable.|Adolescent[MESH]|Child[MESH]|Child, Preschool[MESH]|Enteral Nutrition/instrumentation/*methods[MESH]|Equipment Failure[MESH]|Gastroesophageal Reflux/*diet therapy[MESH]|Gastrostomy/*adverse effects[MESH]|Humans[MESH]|Infant[MESH]|Retreatment[MESH]|Retrospective Studies[MESH]|Treatment Outcome[MESH]|Weight Gain[MESH] |