ISSN:
1573-2568
Schlagwort(e):
ELECTROGASTROGRAPHY
;
GASTROSTOMY
;
CHILDREN
;
ENTERAL NUTRITION
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Notizen:
Abstract Following gastrostomy tube placement somechildren develop gagging, retching, vomiting, pain, orirritability during feedings. Conventional medicalmanagement is not always successful. It is possible that intolerance of gastrostomy tube feedingsreflects an underlying motility disorder of the foregut.The study aim was to determine whether children withgastrostomy tube feeding difficulties demonstrateabnormal gastric electrical control activity as measuredby electrogastrography. Cutaneous electrogastrography ofinterpretable quality was performed in 25feeding-tolerant and 23 feeding-intolerant children less than 10 years of age. Dominant frequencies,rhythm indices, and postprandial power measurements wererecorded during the fasting and postprandial periods.Differences between groups were compared using the Student's t test. The groups were similarin method of gastrostomy tube placement, antirefluxsurgery, neurological impairment, duration ofgastrostomy feeding dependence, formula type, volume,and administration. The feeding-tolerant group wassignificantly older (P 〈 0.01). There were nosignificant differences between groups in the meandominant frequencies or rhythm indices. Thefeeding-intolerant children had a mean postprandial power changethat was significantly lower than that of the feedingtolerant group (P 〈 0.003), although overlap waspresent. Children who are intolerant of gastrostomy tube feeding have an abnormal postprandialpower decrease. EGG dominant frequency and rhythmindices are not predictive of gastrostomy feedingtolerance in predominantly neurologically impairedchildren.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1023/A:1026666811047
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