Are infections of gastrostomies not leaks?

Pierre Jésus (1, 2) , Jean-Claude Desport (1, 2) , Philippe Fayemendy (1, 2)

1 Service d'Hépato-gastro-entérologie et Nutrition [CHU Dupuytren 1, Limoges]
2 NET - Neuroépidémiologie Tropicale

The article by Clarke et al. on morbidity and mortality after gastrostomies [1] is important in daily practice, but the high prevalence of treatments for site infection (38%) is surprising. It is not in accordance with our experience, nor with a study on amyotrophic lateral sclerosis patients (prevalences: 12–22%) [2], nor with a Cochrane analysis [3] (prevalences: 2.9–11.6%). In our practice of home enteral nutrition (EN), like for Clarke et al., the majority of patients suffer from neurological diseases.

Mots clés: Enteral nutrition; Gastrostomy; Infection

Domaines: Santé publique et épidémiologie

Pierre Jésus, Jean-Claude Desport, Philippe Fayemendy. Are infections of gastrostomies not leaks?. Clinical Nutrition, 2017, ⟨10.1016/j.clnu.2017.08.020⟩. ⟨hal-01596496⟩