|Title:||Percutaneous Endoscopic Gastrostomy to Set up a Long-Term Enteral Feeding Route in Children: An Encouraging Result||Authors:||CHANG, PI-FENG
CHANG, MEI -HWEI
|Keywords:||PROSPECTIVE RANDOMIZED TRIAL;COMPLICATIONS;INFANTS||Issue Date:||2003||Journal Volume:||v.19||Journal Issue:||n.4||Start page/Pages:||283-285||Source:||PEDIATRIC SURGERY INTERNATIONAL||Abstract:||
Percutaneous endoscopic gastrostomy (PEG) is now accepted as the preferred technique to establish long-term enteral feeding. A total of 30 pediatric patients (21 males and 9 females, aged from 5 months to 14 years ) underwent PEG in the National Taiwan University Hospital from December 1994 to February 2001. The underlying diseases of the patients receiving PEG were neurological dysfunction (n=26), gastrointestinal disease (n=2) and metabolic disorders (n=2) . All patients received intravenous sedation and PEG was performed successfully. Prophylactic antibiotic treatment was given for 1 day. Tube feeding began 48 h after the placement. The Z-score of weight before and 6 months after PEG was -1.54+/-1.74 and -0.98+/-1.46 , respectively, which is significant (paired t-test, p<0.0001). Accelerated weight gain was found after PEG. Complications of PEG in our patients included local wound infection (n=15), gastrocolic fistula (n=1), pneumoperitoneum (n=1), dislodgement of tube( n=6) and tube occlusion (n= 2). Of these patients 12 received button replacement after PEG and the gastrostomy tube was discontinued in 2 patients when they resumed adequate oral intake. Removal of PEG was performed in 2 patients due to complications of gastrocolic fistula and severe dislodgement. Our results encourage the use of PEG as a long-term route for nutritional supply.
|Appears in Collections:||醫學系|
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