Gastrojejunostomy Tube Bowel Perforations in Low-Weight Infants. JPEN J Parenter Enteral Nutr 2016 Nov;40(8):1177-1182
Date
03/11/2015Pubmed ID
25754440DOI
10.1177/0148607115575741Scopus ID
2-s2.0-84995428163 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
This is a case series in which 3 infants with gastrojejunostomy tube (GJT) insertion developed delayed perforation secondary to pressure necrosis. A review of all patients who underwent a GJT placement in 2013 was performed. Three of these patients developed surgically confirmed perforation secondary to pressure necrosis during this time period; no patients developed perforation at the time of GJT insertion. The indications for GJT insertion for all 3 patients were severe gastroesophageal reflux disease; 2 patients also had recurrent aspiration. The patients were between 9 weeks and 10 months of age at the time of GJT insertion. The site of perforation for all 3 cases occurred just distal to the ligament of Treitz between 48 and 72 hours following insertion. Given our 3 cases of perforation in patients weighing <10 kg, there may be a higher risk of perforation in low-weight patients.
Author List
Massoumi RL, Abdelhafeez AH, Christensen MA, Vo NJ, Goday PS, Leack KM, Duesing LA, Wagner AJAuthors
Lori A. Duesing CPNP, PAC Nurse Practitioner Surgical in the Surgery department at Medical College of WisconsinAmy Wagner MD Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Enteral NutritionGastric Bypass
Humans
Infant
Infant, Low Birth Weight
Intestines
Intubation, Gastrointestinal
Male