Efficacy and tolerance of gastrostomy feeding in Japanese muscular dystrophy patients

被引：16

作者：

Mizuno, Tomoko ^{[1
]}

Komaki, Hirofumi ^{[1
]}

Sasaki, Masayuki ^{[1
]}

Takanoha, Satoko ^{[2
]}

Kuroda, Kenji ^{[3
]}

Kon, Kiyokaku ^{[4
]}

Mamiya, Shigeo ^{[5
]}

Yoshioka, Masaru

Yatabe, Kana ^{[6
]}

Mikata, Takashi ^{[7
]}

Ishihara, Tadayuki ^{[8
]}

Nakajima, Takashi ^{[9
]}

Watanabe, Hiroo ^{[10
]}

Konagaya, Masaaki ^{[11
]}

Mitani, Maki ^{[12
]}

Konishi, Tetsuro ^{[13
]}

Tokita, Yasuko ^{[14
]}

Fukuda, Kiyotaka ^{[15
]}

Tatara, Katsunori ^{[16
]}

Maruta, Kyoko ^{[17
]}

Imamura, Shigehiro ^{[18
]}

Shimazaki, Rie ^{[19
]}

Ishikawa, Kiyoshi ^{[20
]}

Saito, Toshio ^{[21
]}

Shinno, Susumu ^{[21
]}

机构：

[1] NCNP, Dept Child Neurol, Kodaira, Tokyo 1878551, Japan

[2] NCNP, Dept Nutr Management, Kodaira, Tokyo 1878551, Japan

[3] Natl Hosp Org NHO, Asahikawa Med Ctr, Dept Neurol, Sapporo, Hokkaido, Japan

[4] NHO Aomori Natl Hosp, Dept Neurol, Aomori, Japan

[5] NHO Akita Natl Hosp, Dept Neurol, Akita, Japan

[6] NHO Higashisaitama Natl Hosp, Dept Neurol, Saitama, Japan

[7] NHO Shimoshizu Natl Hosp, Dept Neurol, Chiba, Japan

[8] NHO Hakone Natl Hosp, Dept Neurol, Yokohama, Kanagawa, Japan

[9] NHO Niigata Natl Hosp, Dept Neurol, Niigata, Japan

[10] NHO Nagara Med Ctr, Dept Child Neurol, Gifu, Japan

[11] NHO Suzuka Natl Hosp, Dept Neurol, Tsu, Mie, Japan

[12] NHO Hyogo Chuo Natl Hosp, Dept Neurol, Tokyo, Hyogo, Japan

[13] NHO Utano Natl Hosp, Dept Neurol, Kyoto, Japan

[14] NHO Matsue Med Ctr, Dept Pediat, Matsue, Shimane, Japan

[15] NHO Hiroshima Nishi Med Ctr, Dept Pediat, Hiroshima, Japan

[16] NHO Tokushima Natl Hosp, Dept Pediat, Tokushima, Japan

[17] NHO Minamikyushu Natl Hosp, Dept Neurol, Kagoshima, Japan

[18] NHO Kumamoto Saishunso Natl Hosp, Dept Neurol, Kumamoto, Japan

[19] NHO Nishibeppu Natl Hosp, Dept Neurol, Oita, Japan

[20] NHO Okinawa Natl Hosp, Dept Surg, Okinawa, Japan

[21] NHO Toneyama Natl Hosp, Dept Neurol, Osaka, Japan

来源：

BRAIN & DEVELOPMENT | 2012年 / 34卷 / 09期

关键词：

Muscular dystrophy; Duchenne muscular dystrophy; Myotonic dystrophy; Gastrostomy; Efficacy; Complications; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; COMPLICATIONS; PLACEMENT; CHILDREN;

D O I：

10.1016/j.braindev.2011.11.012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Although muscular dystrophy patients often have feeding difficulty and need long-term enteral nutrition, only a few reports have described gastrostomy feeding in these patients. This study was designed to evaluate the efficacy and tolerance of gastrostomy feeding in patients with muscular dystrophy. We performed a retrospective, multicenter study on 144 patients with muscular dystrophy who received gastrostomy feeding between 2007 and 2009 in 25 neuromuscular centers in Japan. There were 77 Duchenne muscular dystrophy (median age at gastrostomy placement 26 years, range 13-47 years), 40 myotonic dystrophy (median age 54.5 years, range 13-70 years), 11 Fukuyama congenital muscular dystrophy (median age 22 years, range 13-29 years), 5 limb girdle muscular dystrophy (median age 62 years, range 43-78 years), and 5 facioscapulohumeral muscular dystrophy (median age 52 years, range 28-67 years) patients. Many benefits including amelioration of malnutrition, swallowing difficulty and respiratory status were observed after the introduction of gastrostomy feeding. Especially in patients with Duchenne muscular dystrophy, mean body weight significantly increased after gastrostomy placement. Although most complications, which are commonly observed in other populations, were tolerable, respiratory failure and peritonitis were important concerns. These findings suggest that gastrostomy placement at an appropriate time is advisable in patients with muscular dystrophy. (C) 2011 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

引用

页码：756 / 762

页数：7

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