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CASE REPORT
Year : 2019  |  Volume : 16  |  Issue : 1  |  Page : 38-39

How replace the gastrostomy tube in children with extremely compromised general conditions


Maternal and Child Health Department, Paediatric Surgery Unit, Salesi Children Hospital, Ancona, Italy

Correspondence Address:
Dr. Carmine Noviello
Pediatric Surgery Unit, Salesi Children Hospital, Via Corridoni, 11, 60128, Ancona
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajps.AJPS_100_17

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The percutaneous endoscopic gastrostomy is the best technique to use in case of children requiring long-time enteral nutrition. The first replacement of the tube is easy in most of the patient, but this step can be extremely problematic in patients with compromised general conditions. The authors report their experience in some cases. Two boys with endoscopic gastrostomy had a deterioration in the general conditions, when replacing the probe, these conditions contraindicated anaesthesia for which the “cut-and-push” technique was adopted in a patient with heart malformation and a local anaesthetic in a neuropathic patient. Both the boys died a few days after this procedure. In our opinion, in children who are not using anaesthesia to reposition the gastrostomy probe, it is best to continue feeding through the nasogastric probe.


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