Percutaneous endoscopic gastrostomy to set up a long-term enteral feeding route in children: An encouraging result
Journal
Pediatric Surgery International
Journal Volume
19
Journal Issue
4
Pages
283-285
Date Issued
2003
Author(s)
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.
SDGs
Other Subjects
antibiotic agent; antibiotic therapy; article; child; clinical article; controlled study; device removal; enteric feeding; female; fistula; gastrointestinal disease; gastrostomy; human; long term care; male; metabolic disorder; neurologic disease; nutritional support; percutaneous endoscopic gastrostomy; pneumoperitoneum; priority journal; prophylaxis; sedation; tube feeding; weight gain; wound infection; Adolescent; Child; Child, Preschool; Endoscopy, Gastrointestinal; Enteral Nutrition; Female; Gastrostomy; Humans; Infant; Male; Retrospective Studies
Type
journal article