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May 3, 2002

How common is the practice of placing gastostomy buttons in small children that are HIV+ for use in giving medications? I can understand that is sure makes adherance to meds easier since some toddlers can be masters at spitting out all or part of the doses. What are other pros and cons?

Response from Dr. Sullivan

Gastrostomies are very common in infants and chilren receiving antiretroviral therapy for HIV infection; getting the medications into the child is essential to ensure a high quality and long life; gastrostomies are performed and maintained with very few side effects, mild infections around the site are the most common and easily treated.JLS.

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