Gastrostomy in children with cystic fibrosis and portal hypertension

Moya Vandeleur, John Massie, Mark Oliver

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12 Citations (Scopus)

Abstract

Children with cystic fibrosis-associated liver disease (CFALD) and portal hypertension may require supplemental feeding with gastrostomy; however, this could lead to the development of stomal varices. We assessed this risk and nutritional and pulmonary outcome in a series of 7 children with CFALD and portal hypertension. In 35.1 patient-years of follow-up, none developed stomal varices or had a gastrointestinal bleed attributable to a varix. There was significant improvement in nutrition and lung function 2 years postinsertion. We conclude that gastrostomy placement for poor nutrition in children with CFALD and portal hypertension is safe and contributes to improved nutritional and pulmonary outcome.

Original languageEnglish
Pages (from-to)245-247
Number of pages3
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume57
Issue number2
DOIs
Publication statusPublished - 1 Aug 2013
Externally publishedYes

Keywords

  • cystic fibrosis
  • gastrostomy
  • liver disease
  • nutrition
  • outcome
  • portal hypertension

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