DC 欄位 | 值 | 語言 |
dc.contributor | 臺大醫院-小兒部; | en |
dc.contributor.author | Wu, Fu-Yu | en |
dc.contributor.author | Wu, Jia-Feng | en |
dc.creator | Wu, Fu-Yu;Wu, Jia-Feng;Ni, Yen-Hsuan | en |
dc.creator | 倪衍玄 ;吳嘉峰 | zh-tw |
dc.date | 2013 | en |
dc.date.accessioned | 2014-02-14T10:10:54Z | - |
dc.date.accessioned | 2018-07-11T18:39:13Z | - |
dc.date.available | 2014-02-14T10:10:54Z | - |
dc.date.available | 2018-07-11T18:39:13Z | - |
dc.date.issued | 2013 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/259906 | - |
dc.description.abstract | Background: Percutaneous endoscopic gastrostomy (PEG) is widely accepted as the preferred procedure to establish long-term enteral feeding.
Objective: To learn the long-term outcomes of the patients who have undergone PEG placement, we reviewed our experience with children who underwent this procedure in our institute.
Methods: A total of 83 pediatric patients (42 males and 41 females), who were aged from 3 months to 20 years, underwent PEG insertion in National Taiwan University Hospital from January 2000 to April 2011. The underlying diseases of the patients receiving PEG were neurological dysfunction (n = 67), metabolic disorders (n = 9), gastrointestinal disease (n = 2), and congenital heart disease (n = 1). This procedure was performed under intravenous sedation or under general anesthesia. Prophylactic antibiotics were administered for 1 day. Tube feeding began 24 hours after the PEG placement. The body weight of the patients was recorded 1 day before PEG placement and at least 6 months after PEG placement.
Results: The weight-for-age Z-score before and at 6 months after PEG placement were -1.5 +/- 2.0 and -0.9 +/- 2.1, respectively, which was statistically significant (paired t test, p = 0.006). The catch-up growth was recorded after PEG placement. Complications of PEG in our patients included cellulitis at the gastrostomy wound (n = 14), dislodgement of the tube (n = 17), and persistent gastrocutaneous fistula (n = 3). The PEG tube was removed permanently in seventeen patients because they resumed an adequate oral intake. During the follow-up period, 14 patients died of an underlying disease or infection.
Conclusion: Our experience confirmed that PEG placement is a good long-term route for nutritional supply with no serious complications in children. Copyright (C) 2013, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. All rights reserved. | en |
dc.format.extent | 110 bytes | - |
dc.format.mimetype | text/html | - |
dc.language | en-us | en |
dc.relation | Pediatr. Neonatol., 54(5), 326-329 | en |
dc.relation.ispartof | Pediatr. Neonatol. | - |
dc.subject | endoscopy | en |
dc.subject | gastrostomy | en |
dc.subject | outcome | en |
dc.title | Long-term Outcome After Percutaneous Endoscopic Gastrostomy in Children | en |
dc.relation.pages | 326-329 | - |
dc.relation.journalvolume | 54 | - |
dc.relation.journalissue | 5 | - |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/259906/1/index.html | - |
item.grantfulltext | open | - |
item.fulltext | with fulltext | - |
顯示於: | 醫學系
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