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Background
Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment.
Objective
To assess the safety and effectiveness of such treatment at a single center.
Materials and methods
We conducted a 3-year retrospective feasibility study reporting on placement procedure, feeding plan, acute complications and effectiveness of this technique based on the evolution of the weight and weight-to-height during a period of 3 months.
Results
Eleven gastrostomies were performed in 11 children and young adults (3–20 years old) during oncological treatment. No major complications occurred. Two patients experienced minor side effects — local leakage and granulation tissue formation — both easily treated. In all cases, enteral feeding started within 24 h following the button placement. The patients were able to go home within 72 h. After 1 month, 64% (7/11) had gained weight, 18% (2/11) had maintained weight and 9% (1/11) had lost weight. After 3 months, 73% (8/11) had gained weight and 9% (1/11) had lost weight.
Conclusion
The procedure and devices were well tolerated and mostly effective in our cohort.