Prolonged use of stomach feeding tubes in children may increase risk of stomach fistulas

July 3, 2014

Pediatric patients with intestinal failure often need gastrostomy tubes, or feeding tubes inserted into an opening created in the stomach, for long-term nutrition. The use of such tubes can lead to persistent gastrocutaneous fistulae, or the failure of the opening to close on its own, resulting in a need for surgical closure.

The causes of gastrocutaneous fistulae in pediatric patients are largely unknown, but researchers at Boston Children's Hospital looked at possible risk factors, including nutrition. Their finds are published today in the OnlineFirst version of the Journal of Parenteral and Enteral Nutrition (JPEN), the research journal of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.).

Of all the studied, only prolonged use of a gastrostomy tube was identified with an increased likelihood of gastrocutaneous fistulae. In addition, fistulas in that persist for longer than seven days are unlikely to close.

The researchers recommend that that early operative intervention be considered after a relatively brief trial of spontaneous gastrostomy tubes site closure, especially in children who have had indwelling tubes for longer than 18 months.

Explore further: How to predict post-operative enteral nutrition problems

Related Stories

How to predict post-operative enteral nutrition problems

March 24, 2009

Percutaneous endoscopic gastrostomy (PEG) has become one of the most useful and established enteral nutrition techniques. However, since PEG is based on a surgical technique and is mainly performed in elderly individuals ...

Recommended for you

Some youth football drills riskier than others

August 23, 2016

Nearly three quarters of the football players in the U.S. are less than 14 years old. But amid growing concern about concussion risk in football, the majority of the head-impact research has focused on college and professional ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.