Pediatric allergy and respiratory disease (소아알레르기 및 호흡기학회지)

The Korean Academy of Pediatric Allergy and Respiratory Diseasse (대한소아알레르기호흡기학회)
권호 표지

A Case of Jejunostomy for Cerebral Palsy with Recurrent Aspiration Pneumonia

흡인성 폐렴이 반복된 뇌성마비 환자에서의공장창냄술(Jejunostomy) 시행 1례

Kim, Hyo-Jin;Lee, Geun-Yeong;Jang, Pil-Sang;Kim, Dong-Eon;Kim, Yeong-Hun;Kim, Ji-Il;Lee, Hye-Gyeong;Kim, Jin-Taek
김효진;이근영;장필상;김동언;김영훈;김지일;이혜경;김진택

  • Published : 20050000
⟨ Previous Next ⟩

Abstract

Cerebral palsy(CP) usually arises in the prenatal period, interferes with normal development of the brain and presents as a disorder of motor dysfunction. It is a common cause of severe neurologic disability in children with incidence of 2 per 1000 live births in Canada. Presently, with the persistent increase in premature births and improved care in the perinatal period, the incidence of CP is strikingly augmented. According to neurologically impaired motor ability, they commonly have feeding difficulties, like swallowing, leading to frequent aspiration pneumonia and gastroesophageal reflux. Therefore, improvement of feeding techniques should be an urgent requirement to correct the risk of poor growth. We report a case of CP due to kernicterus who have recurrent pneumonia and growth failure, experience a jejunostomy to overcome the feeding problems.

저자들은 흡인성 폐렴이 자주 반복되는 뇌성마비 환자에서 공장창냄술을 시행한 후 튜브 식이요법을 계속하여 환자의 영양상태를 호전시키고 흡인성 폐렴 방지에 효과가 있었기에 이를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Stanley F, Blair E, Aberman E. Cerebral palsies : epidemiology and causal pathways. London : MacKeith Press, 2000:874-83
  2. Ross MN, Haase GM, Reiley IT. The importance of acid reflux patterns in neurologi-calley damaged children detected by fourcharmel esophageal pH monitoring. J Pediatr Surg 1988;23:573-6 https://doi.org/10.1016/S0022-3468(88)80371-3
  3. Sullivan PB. Gastrointestinal problems in the neurologicalley impaired child. Baillieres Clin Gastroenterol 1997;11:529-46 https://doi.org/10.1016/S0950-3528(97)90030-0
  4. Viteri F, Protein energy malnutrition. In : Viteri F, Walker A, Durie P, Hamilton J, Walker-Smith J, Watkins J, editors. Pediatric Gastrointestinal Diseases. Philadelphia: BC Decker, Inc. 1991:1596-611
  5. Stallings V. Charney E, Davies J. Cronk C. Nutrition-related growth failure of children with quadriplegic derebral palsy. Dev Med Children Neurol 1993;35:126-38
  6. Laaban J. Malnutrition, renutrition and respiratory function. Pediatr Pulminol 1997;16:167-8
  7. Elturnin M, Sullivan PB. Nutritional management of the disabled child : the role of percutaneous endoscopic gastrostomy. Dev Med Children Neurol 1997;39:66-8
  8. Corwin DS, Issacs JS, Georgeson KE, Bartolucci AA, Cloud HH, Craig CB. Weight and length increases in children after gastrostomy placement. J Am Diet Assoc 1996;96:874-9 https://doi.org/10.1016/S0002-8223(96)00239-8
  9. Smith C, Othcrscn J, Gogan N, Walker J. Nissen fundoplication in children with profound neurologic disability: high risks and unmet needs. Ann Surg 1992;215:654-9 https://doi.org/10.1097/00000658-199206000-00012
  10. Mollitt D, Golladay E, Seibert J. Symptomatic gastroesophageal reflux following gastrostomy in neurologically impaired patients. Pediatrics 1985;75:1124-6
  11. Strauss D, Kastner T, Ashwal S, White J. Tube feeding and mortality in children with severe disabilities and mental retardations. Pediatrics 1997;99:358-62 https://doi.org/10.1542/peds.99.3.358
  12. Plioplys AV, Kasnicka I, Lewis S, Moller D. Survival rates among children with severe neurologic disabilities. South Med J 1998;91:161-72 https://doi.org/10.1097/00007611-199802000-00009
  13. Ni YH, Yu CH, Lin WT, Chang PF, Shih HH, Chang PS, et al. Pediatric percutaneous endoscopic jejunostomy by j-tube extension through a preexisting gastrostomy site: a preliminary report. J Formos Med Assoc 1998;97:873-6