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Enteral nutritional support by percutaneous endoscopic gastrostomy in children with congenital heart disease

G Hofner1, R Behrens, A Koch

  • 1Abteilung für Kardiologie, Klinik mit Poliklinik für Kinder und Jugendliche der Universität Erlangen-Nürnberg, Loschgestrasse 15, D-91054 Erlangen, Germany.

Pediatric Cardiology
|June 24, 2000
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) offers a safe and effective method for nutritional support in children with severe congenital heart disease (CHD). This technique improves nutritional status and weight gain, with good parental acceptance and few complications.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Cardiology

Background:

  • Children with severe congenital heart disease (CHD) often suffer from poor nutritional status, impacting surgical outcomes.
  • Long-term nasogastric tube feeding presents disadvantages for nutritional support in these patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous endoscopic gastrostomy (PEG) for enteral nutritional support in pediatric patients with severe CHD.

Main Methods:

  • Retrospective analysis of 15 children with severe CHD who underwent PEG insertion.
  • Assessment of complications during PEG insertion and feeding.
  • Monitoring of nutritional status and weight gain in patients followed for at least 6 months.

Main Results:

  • No major complications occurred during PEG insertion or feeding.
  • Minor complications were infrequent.
  • Significant weight gain ( >1 SD or >0.5 SD) was observed in 6 out of 8 children followed for 6 months.
  • Enteral support via PEG was discontinued in 7 children after 2.5 to 42 months.
  • Parental acceptance of PEG was favorable despite initial concerns.

Conclusions:

  • Percutaneous endoscopic gastrostomy (PEG) is a safe and reliable method for providing enteral nutrition in children with severe congenital heart disease (CHD).
  • PEG facilitates improved nutritional status and weight gain, enhancing the overall management of these complex pediatric patients.

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