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Department
of Child Health, University Hospital of Wales, Cardiff
Correspondence to: Dr M Cosgrove, Department of Child Health, Singleton Hospital, Sketty, Swansea SA2 8QA.
Accepted 4 November 1996
Enteral nutrition is an important mode of treatment for
Crohn's disease in children. Percutaneous endoscopic gastrostomy has been little used, even though it can facilitate the administration of
an unpalatable elemental diet to an anorexic, undernourished patient.
Its use is reported in 10 children with Crohn's disease. The
gastrostomy was found to be more acceptable than a nasogastric tube and
was associated with only minor complications. As a consequence of
improved delivery of enteral nutrition, in the year after the insertion
of the gastrostomy there was a reduction in prednisolone dosage in all
patients, with six patients being able to stop prednisolone completely.
The SD score for height also improved significantly. It is suggested
that percutaneous endoscopic gastrostomy is both useful and safe in the
management of Crohn's disease in children, particularly when
compliance with an elemental diet is likely to be poor.
This article has been cited by other articles:
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  G Sleigh and P Brocklehurst Gastrostomy feeding in cerebral palsy: a systematic review Arch. Dis. Child., June 1, 2004; 89(6): 534 - 539. [Abstract] [Full Text] [PDF]
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J W L Puntis Recent advances: Nutritional support at home and in the community Arch. Dis. Child., April 1, 2001; 84(4): 295 - 298. [Abstract] [Full Text]
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D. PASHANKAR and D. M ISRAEL Gastrostomy in children with Crohn's disease Arch. Dis. Child., October 1, 1997; 77(4): 368a - 368. [Full Text]
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