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Gastrostomy button: clinical appraisal.
Article Dans Anglais | IMSEAR | ID: sea-41398
ABSTRACT
We retrospectively studied all gastrostomy buttons inserted in the Royal Children's Hospital, Brisbane between 1988 and 1995. One hundred and thirty-two patients (M = 60, F = 72) and 388 buttons were analysed. Intellectual handicap and cystic fibrosis comprised the majority of patients. Thirty-three patients had gastrostomy buttons inserted primarily, whereas, 99 patients received gastrostomy buttons inserted into matured gastrostomy stoma. The average longevity of all determined buttons (n = 280) was 360.43 days (SD = 310.24). The first buttons inserted primarily (n = 25) had longer longevity than the first buttons inserted into matured gastrostomy stoma (n = 82) with statistical significance. The average longevity of subsequent buttons was significantly less than the first buttons. Valve incompetence and leakage of gastric content around the shaft were the most common causes of button removal. We concluded that the gastrostomy button is the method of choice for long term enteral feeding in children.
Sujets)
Texte intégral: Disponible Indice: IMSEAR (Asie du Sud-Est) Sujet Principal: Australie / Humains / Gastrostomie / Modèles des risques proportionnels / Analyse de survie / Enfant d'âge préscolaire / Études rétrospectives / Gastroscopie / Nutrition entérale / Sélection de patients Type d'étude: Étude observationnelle / Étude pronostique Pays comme sujet: Océanie langue: Anglais Année: 2000 Type: Article

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Texte intégral: Disponible Indice: IMSEAR (Asie du Sud-Est) Sujet Principal: Australie / Humains / Gastrostomie / Modèles des risques proportionnels / Analyse de survie / Enfant d'âge préscolaire / Études rétrospectives / Gastroscopie / Nutrition entérale / Sélection de patients Type d'étude: Étude observationnelle / Étude pronostique Pays comme sujet: Océanie langue: Anglais Année: 2000 Type: Article