Main Article Content
In this issue of JPOSNA, Dr. Shiver et al. review data about the role of an enterostomy feeding tube (gastrostomy/G-tube, jejunostomy/J-tube, or gastro-jejunostomy/G-J tube) in patients with cerebral palsy undergoing spinal surgery for neuromuscular scoliosis.1 The authors quite rightly comment that spinal surgery in these patients represents a significant intervention that may result in a number of respiratory, gastrointestinal, and infectious complications. These complications can have a tremendous medical, social, and psychological impact on the patient and the patient’s family, so understanding a particular patient’s risk factors before surgery is an important part of preoperative planning. As pediatric hospitalists who often co-manage these patients at our institution—including seeing these patients preoperatively with an emphasis on their nutritional status2—we greatly appreciate the opportunity to comment on this paper.