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[Help to children and adolescents with malnutrition or eating disorders. Percutaneous endoscopic gastrostomy with

T Casswall1, B Bäckström, M Drapinski

  • 1Sektionen för pediatrisk gastroenterologi, hepatologi och nutrition, Huddinge sjukhus. thomas.casswall@klinvct.ki.se

Lakartidningen
|March 31, 2000
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) is a safe and effective procedure for children needing enteral feeding, leading to significant weight gain. A multidisciplinary approach is recommended to manage potential risks and complications.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Procedures
  • Nutritional Support

Context:

  • Malnutrition and eating disorders in children often stem from chronic illnesses.
  • Percutaneous endoscopic gastrostomy (PEG) is increasingly utilized for nutritional management in pediatric patients.
  • The safety and efficacy of PEG in pediatric populations require ongoing evaluation.

Purpose:

  • To evaluate the safety and outcomes of percutaneous endoscopic gastrostomy (PEG) placement in a cohort of pediatric patients.
  • To assess the impact of PEG on nutritional status, specifically weight gain, in children.
  • To identify potential complications associated with PEG procedures in infants and children.

Summary:

  • This study reviewed 62 pediatric patients (median age 4 years) who underwent PEG placement.
  • No immediate procedural complications occurred; however, 10% experienced postoperative pneumonia.
  • Late complications were minimal, with significant weight gain observed post-procedure (mean SDS change from -2.7 to -2.2).
  • Cerebral palsy was the most common underlying diagnosis (50%).

Impact:

  • Percutaneous endoscopic gastrostomy (PEG) is confirmed as a safe intervention for pediatric malnutrition requiring enteral feeding.
  • The findings underscore the importance of a multidisciplinary nutritional support team to mitigate PEG-related risks.
  • This study contributes to the evidence base for utilizing PEG in pediatric chronic illness management.

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