Abstract
Aggressive nutritional support is imperative to ensure an optimal quality of life in the management of children with end stage renal disease (ESRD). Supplemental enteral feeds using a gastrostomy tube (G-tube) are commonly used for nutritional support to overcome the barrier posed by anorexia. Some of the reported complications of G-tube feeds in children simultaneously receiving peritoneal dialysis include G-tube exit site infection with concomitant peritonitis and G-tube obstruction. We are reporting our experience in managing an 8-year-old Caucasian male with ESRD who, while receiving peritoneal dialysis and G-tube feeds, developed medically intractable peritonitis due to separation of the stomach wall from the anterior abdominal wall, resulting in peritoneal contamination with gastric contents. This complication, which has not previously been reported in patients receiving peritoneal dialysis, had devastating consequences, culminating in the death of our patient.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 787-789 |
| Number of pages | 3 |
| Journal | Pediatric Nephrology |
| Volume | 16 |
| Issue number | 10 |
| DOIs | |
| State | Published - 2001 |
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Keywords
- Complication
- Gastrostomy tube
- Leak
- Peritoneal dialysis
- Peritonitis
ASJC Scopus subject areas
- Nephrology
- Pediatrics, Perinatology, and Child Health
Cite this
Gastrostomy tube leak in a patient receiving peritoneal dialylis. / Butani, Lavjay; Berg, G.; Makker, Sudesh P.
In: Pediatric Nephrology, Vol. 16, No. 10, 2001, p. 787-789.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Gastrostomy tube leak in a patient receiving peritoneal dialylis
AU - Butani, Lavjay
AU - Berg, G.
AU - Makker, Sudesh P
PY - 2001
Y1 - 2001
N2 - Aggressive nutritional support is imperative to ensure an optimal quality of life in the management of children with end stage renal disease (ESRD). Supplemental enteral feeds using a gastrostomy tube (G-tube) are commonly used for nutritional support to overcome the barrier posed by anorexia. Some of the reported complications of G-tube feeds in children simultaneously receiving peritoneal dialysis include G-tube exit site infection with concomitant peritonitis and G-tube obstruction. We are reporting our experience in managing an 8-year-old Caucasian male with ESRD who, while receiving peritoneal dialysis and G-tube feeds, developed medically intractable peritonitis due to separation of the stomach wall from the anterior abdominal wall, resulting in peritoneal contamination with gastric contents. This complication, which has not previously been reported in patients receiving peritoneal dialysis, had devastating consequences, culminating in the death of our patient.
AB - Aggressive nutritional support is imperative to ensure an optimal quality of life in the management of children with end stage renal disease (ESRD). Supplemental enteral feeds using a gastrostomy tube (G-tube) are commonly used for nutritional support to overcome the barrier posed by anorexia. Some of the reported complications of G-tube feeds in children simultaneously receiving peritoneal dialysis include G-tube exit site infection with concomitant peritonitis and G-tube obstruction. We are reporting our experience in managing an 8-year-old Caucasian male with ESRD who, while receiving peritoneal dialysis and G-tube feeds, developed medically intractable peritonitis due to separation of the stomach wall from the anterior abdominal wall, resulting in peritoneal contamination with gastric contents. This complication, which has not previously been reported in patients receiving peritoneal dialysis, had devastating consequences, culminating in the death of our patient.
KW - Complication
KW - Gastrostomy tube
KW - Leak
KW - Peritoneal dialysis
KW - Peritonitis
UR - http://www.scopus.com/inward/record.url?scp=0034827345&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034827345&partnerID=8YFLogxK
U2 - 10.1007/s004670100674
DO - 10.1007/s004670100674
M3 - Article
C2 - 11605783
AN - SCOPUS:0034827345
VL - 16
SP - 787
EP - 789
JO - Pediatric Nephrology
JF - Pediatric Nephrology
SN - 0931-041X
IS - 10
ER -