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Nurse-assisted PEG in pediatric patients
1Johns Hopkins Children's Center, 600 N. Wolfe Street, Baltimore, MD 21287, USA. lwilson@jhmi.edu
Summary
Nurse-assisted percutaneous endoscopic gastrostomy (PEG) placement is safe in children. A study found no significant difference in complications between nurse-assisted and fellow-assisted PEG procedures, supporting this approach for pediatric enteral access.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a standard method for providing enteral access in pediatric patients.
- Traditionally, PEG procedures involved surgeons and pediatric gastroenterologists, but evolving practices explore enhanced team roles.
Purpose of the Study:
- To evaluate the safety and efficacy of a nurse-assisted percutaneous endoscopic gastrostomy (PEG) program in a pediatric setting.
- To compare complication rates between nurse-assisted and gastroenterology fellow-assisted PEG procedures.
Main Methods:
- A retrospective review of 147 consecutive pediatric PEG procedures performed between June 1997 and May 1999.
- Comparison of periprocedural complications between 69 nurse-assisted PEGs and 78 gastroenterology fellow-assisted PEGs, with attending pediatric gastroenterologists as endoscopists.
Main Results:
- No statistically significant difference in the periprocedural complication rate was observed between the nurse-assisted PEG group and the gastroenterology fellow-assisted PEG group.
- This indicates comparable safety profiles for both procedural approaches.
Conclusions:
- The implementation of a nurse-assisted percutaneous endoscopic gastrostomy (PEG) program is a safe and viable option for pediatric enteral access.
- Trained endoscopy nurses can serve effectively as first assistants in pediatric PEG placements, optimizing procedural teams.