지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제24권 제6호
- 발행연도
- 2021.11
- 수록면
- 546 - 554 (9page)
- DOI
- 10.5223/pghn.2021.24.6.546
이용수
초록· 키워드
오류제보하기
Purpose: Malnutrition is a significant issue for pediatric patients with cancer. We sought to evaluate the effectiveness and complication rate of percutaneous endoscopic gastrostomy (PEG) placement in pediatric oncology patients.
Methods: A retrospective chart review was performed on 49 pediatric oncology patients undergoing PEG placement at Johns Hopkins All Children's Hospital between 2000 and 2016. Demographic and clinical characteristics, complications, absolute neutrophil count at time of PEG placement and at time of complications, length of stay, and mortality were identified. Weight-for-age Z-scores were evaluated at time of- and six months post-PEG placement.
Results: The overall mean weight-for-age Z-score improved by 0.73 (p<0.0001) from pre- (?1.11) to post- (?0.38) PEG placement. Improvement in Z-score was seen in patients who were malnourished at time of PEG placement (1.14, p<0.0001), but not in those who were not malnourished (0.32, p=0.197). Site infections were seen in 12 (24%), buried bumper syndrome in five (10%), and tube dislodgement in one (2%) patient. One patient (2%) with fever was treated for possible peritonitis. There were no cases of other major complications, including gastric perforation, gastrocolic fistula, clinically significant bleeding, or PEGrelated death documented.
Conclusion: Consistent with previous studies, our data suggests a relationship between site complications (superficial wound infection, buried bumper syndrome) and neutropenia. Additionally, PEG placement appears to be an effective modality for improving nutritional status in malnourished pediatric oncology patients. However, larger prospective studies with appropriate controls and adjustment for potential confounders are warranted to confirm these findings.
목차
등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
Robinson DL / 2012 / Nutritional screening and early intervention in children, adolescents, and young adults with cancer / J Pediatr Oncol Nurs 29:346~355
McGrath KH / 2019 / Gastrostomy tube use in children with cancer / Pediatr Blood Cancer 66:e27702
Jones L / 2010 / Nutritional support in children and young people with cancer undergoing chemotherapy / Cochrane Database Syst Rev (7):CD003298
Ladas EJ / 2006 / Standards of nutritional care in pediatric oncology: results from a nationwide survey on the standards of practice in pediatric oncology. A Children's Oncology Group study / Pediatr Blood Cancer 46:339~344
Brinksma A / 2015 / Malnutrition is associated with worse health-related quality of life in children with cancer / Support Care Cancer 23:3043~3052
McGrath KH / 2019 / Gastrostomy tube use in children with cancer / Pediatr Blood Cancer 66:e27702
Jones L / 2010 / Nutritional support in children and young people with cancer undergoing chemotherapy / Cochrane Database Syst Rev (7):CD003298
Ladas EJ / 2006 / Standards of nutritional care in pediatric oncology: results from a nationwide survey on the standards of practice in pediatric oncology. A Children's Oncology Group study / Pediatr Blood Cancer 46:339~344
Brinksma A / 2015 / Malnutrition is associated with worse health-related quality of life in children with cancer / Support Care Cancer 23:3043~3052
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