Faculty Collaboration Database

Gastrojejunostomy Tube Bowel Perforations in Low-Weight Infants. JPEN J Parenter Enteral Nutr 2016 Nov;40(8):1177-1182

Date

03/11/2015

Pubmed ID

25754440

DOI

10.1177/0148607115575741

Scopus ID

2-s2.0-84995428163 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

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 AJ

Authors

Lori A. Duesing CPNP, PAC APP Inpatient 2 in the Surgery department at Medical College of Wisconsin
Amy Wagner MD Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Enteral Nutrition
Gastric Bypass
Humans
Infant
Infant, Low Birth Weight
Intestines
Intubation, Gastrointestinal
Male