https://scholars.lib.ntu.edu.tw/handle/123456789/537122
標題: | Percutaneous endoscopic gastrostomy to set up a long-term enteral feeding route in children: An encouraging result | 作者: | Chang P.-F. YEN-HSUAN NI MEI-HWEI CHANG |
公開日期: | 2003 | 卷: | 19 | 期: | 4 | 起(迄)頁: | 283-285 | 來源出版物: | Pediatric Surgery International | 摘要: | 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. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0038156085&doi=10.1007%2fs00383-002-0933-x&partnerID=40&md5=22b4339a1418f2e83b5e0e8f12e86e4a https://scholars.lib.ntu.edu.tw/handle/123456789/537122 |
ISSN: | 0179-0358 | DOI: | 10.1007/s00383-002-0933-x | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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