دورية أكاديمية
The effects of gastrojejunostomy tube placement on pulmonary and gastrointestinal complications following spinal fusion for neuromuscular scoliosis.
| العنوان: | The effects of gastrojejunostomy tube placement on pulmonary and gastrointestinal complications following spinal fusion for neuromuscular scoliosis. |
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| المؤلفون: | Legister CS; Research Department, Gillette Children's, St. Paul, Minnesota., James CL; Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, Michigan., Truong WH; Department of Orthopaedic Surgery, Gillette Children's, St. Paul.; Department of Orthopaedic Surgery, University of Minnesota., Guillaume TJ; Department of Orthopaedic Surgery, Gillette Children's, St. Paul., Harding DC; Department of Orthopaedic Surgery, Gillette Children's, St. Paul., Palmer CL; University of Minnesota Medical School., Morgan SJ; Research Department, Gillette Children's, St. Paul, Minnesota.; Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, Minnesota.; Department of Rehabilitation Medicine, University of Washington, Seattle, Washington., Beauchamp EC; Department of Orthopaedic Surgery, Gillette Children's, St. Paul.; Twin Cities Spine Center, Minneapolis, Minnesota, USA., Perra JH; Department of Orthopaedic Surgery, Gillette Children's, St. Paul.; Twin Cities Spine Center, Minneapolis, Minnesota, USA., Miller DJ; Department of Orthopaedic Surgery, Gillette Children's, St. Paul.; Department of Orthopaedic Surgery, University of Minnesota. |
| المصدر: | Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2024 Feb 19. Date of Electronic Publication: 2024 Feb 19. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9300904 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5865 (Electronic) Linking ISSN: 1060152X NLM ISO Abbreviation: J Pediatr Orthop B Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia : Lippincott Williams & Wilkins Original Publication: New York, NY : Raven Press, c1992- |
| مستخلص: | To evaluate whether preoperative conversion from a gastrostomy tube (G-tube) to a gastrojejunostomy tube (GJ-tube) decreases short-term postoperative aspiration pneumonia and gastrointestinal complications in children with neuromuscular scoliosis. We conducted a retrospective chart review from January 2006 to October 2021 of pediatric patients who had neuromuscular scoliosis and were fed with a G-tube before spinal fusion. Eligible patients were divided into two groups based on whether they were converted to a GJ-tube preoperatively. Preoperative characteristics and 30-day postoperative outcomes were compared between groups using Chi-square tests. Of 261 eligible patients, 205 were converted to a GJ-tube, while 56 underwent spinal fusion with a G-tube. Common complications following G-tube to GJ-tube conversion were feeding intolerance (25.2%), GJ-tube malfunction (17.7%), and at least one episode of vomiting (17.4%). Within 30 days of discharge, 12.5% of GJ-tube patients and 11.5% of G-tube patients experienced aspiration pneumonia (P = 0.85). The GJ-tube group received postoperative tube feeds 7 hours earlier than the G-tube group on average (51.6 h vs. 44.5 h, P = 0.02). Within 30 days of discharge, one (0.5%) patient from the GJ-tube group died of gastrointestinal complications unrelated to conversion and two (3.6%) patients in the G-tube group died from aspiration pneumonia (P = 0.12). Results suggest that there were no appreciable differences in outcomes between patients converted to a GJ-tube preoperatively compared to those who continued to use a G-tube. However, preoperative characteristics indicate that a higher number of complex patients were converted to a GJ-tube, indicating potential selection bias in this retrospective sample. Level of evidence: Level III. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.) |
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| تواريخ الأحداث: | Date Created: 20240227 Latest Revision: 20240227 |
| رمز التحديث: | 20240228 |
| DOI: | 10.1097/BPB.0000000000001166 |
| PMID: | 38412048 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1473-5865 |
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| DOI: | 10.1097/BPB.0000000000001166 |