We would like to thank Drs. Boybeyi and Soyer for their interest in our study on pediatric
gastrostomy tubes [
[1]
]. Herein we provide a response to your letter. Regarding the indications for gastrostomy
tube (GT) placement, we classified them into the following categories: cardiac, pulmonary,
neurological, renal, gastrointestinal, genetic, anatomic, traumatic, failure to thrive,
and malignancy. In the short-term GT group, the patients classified as gastrointestinal
indications had meconium ileus or anorectal malformations. The patients in the short-term
group with an anatomic indication both had laryngomalacia. With regards to esophageal
atresia, there was one patient in the long-term group who had esophageal atresia.
As you mentioned, there may be difficulty passing a nasogastric (NG) tube into the
stomach for this specific population of children and therefore they may not be candidates
for NG feeds. In addition, this is likely why this patient with esophageal atresia
was in the long-term group, requiring use of the GT for greater than 6 months, and
why there were no such patients in the short-term group.Abbreviations:
GT (gastrostomy tube), NG (nasogastric)To read this article in full you will need to make a payment
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References
- Patient selection for pediatric gastrostomy tubes: are we placing tubes that are not being used?.J Pediatr Surg. 2022; 57: 532-537
Article info
Publication history
Published online: April 21, 2022
Accepted:
April 15,
2022
Received:
April 15,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
