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Percutaneous endoscopic gastrostomy. Procedure in practice
Alex Lee1, Helen Carter, David Crabbe
1Queen's Medical Centre, Nottingham.
Insights
Percutaneous endoscopic gastrostomy (PEG) is a common pediatric procedure. Careful consideration of patient circumstances and responses is crucial for safe and effective PEG insertion in children.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
Background:
- Percutaneous endoscopic gastrostomy (PEG) is frequently employed in pediatric care.
- The application of PEG procedures requires careful patient assessment.
Purpose of the Study:
- To outline the indications and contraindications for PEG insertion in pediatric patients.
- To detail the procedural aspects of PEG insertion in children.
Main Methods:
- Review of current literature and clinical guidelines.
- Focus on the technical aspects of PEG insertion.
Main Results:
- Established criteria for appropriate PEG use in children.
- Detailed description of the PEG insertion technique.
Conclusions:
- PEG is a valuable tool in pediatric treatment when judiciously applied.
- Further discussion on the role of nursing staff in PEG procedures will follow.
Abstract:
Percutaneous endoscopic gastrostomy (PEG) is a relatively common procedure used in the treatment of children. As with all procedures, it must be used with care and only after taking careful account of circumstances and likely responses of the individual patient. This first of two articles on the procedure discusses the indications and contraindications for PEG insertion in children and then focuses on the procedure itself. The second article will discuss the role of the nurse as surgeon's assistant in the application of this procedure to children.
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