Gastrostomy tube placement in infants with congenital diaphragmatic hernia: Frequency, predictors, and growth outcomes.


Journal Article

Gastrostomy tube (G-tube) placement is a common intervention for newborns with severe feeding difficulties. Infants with congenital diaphragmatic hernia (CDH) are at high risk for feeding problems. Prevalence of G-tube placement and consequent nutritional outcomes of infants with CDH and G-tubes has not been described.Determine factors associated with G-tube placement and growth in infants with congenital diaphragmatic hernia.Retrospective cohort study of infants with CDH to evaluate the association of G-tube placement with risk factors using logistic regression. We also assessed the association between growth velocity and G-tube placement and other risk factors using linear regression.The subjects of the study were infants with CDH treated at Duke University Medical Center from 1997 to 2013.Weight gain in infants with CDH that had G-tube placement compared to those infants with CDH that did not.Of the 123 infants with CDH, 85 (69%) survived and G-tubes were placed in 25/85 (29%) survivors. On adjusted analysis, extracorporeal membrane oxygenation (OR=11.26 [95% CI: 1.92-65.89]; P=0.01) and proton pump inhibitor use (OR=17.29 [3.98-75.14], P≤0.001) were associated with G-tube placement. Infants without G-tubes had a growth velocity of 6.5g/day (95% CI: 2.5-10.4) more than infants with G-tubes.Survivors with more complex inpatient courses were more likely to receive G-tubes. Further investigation is needed to identify optimal feeding practices for infants with CDH.

Full Text

Duke Authors

Cited Authors

  • Rudra, S; Adibe, OO; Malcolm, WF; Smith, PB; Cotten, CM; Greenberg, RG

Published Date

  • December 2016

Published In

Volume / Issue

  • 103 /

Start / End Page

  • 97 - 100

PubMed ID

  • 27559682

Pubmed Central ID

  • 27559682

Electronic International Standard Serial Number (EISSN)

  • 1872-6232

International Standard Serial Number (ISSN)

  • 0378-3782

Digital Object Identifier (DOI)

  • 10.1016/j.earlhumdev.2016.08.003


  • eng