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Nurse-assisted PEG in children

Alex C H Lee1, Helen P Carter, Ian D Sugarman

  • 1Queen's Medical Centre, Nottingham.

British Journal of Perioperative Nursing : the Journal of the National Association of Theatre Nurses
|September 19, 2003
PubMed

Insights

This study reviewed 83 percutaneous endoscopic gastrostomy (PEG) insertions and 39 PEG changes in pediatric patients. The PEG procedures demonstrated a lower complication rate compared to previous reports, indicating improved safety in pediatric gastrointestinal interventions.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral nutrition in children.
  • Previous pediatric PEG series have reported varying complication rates.

Purpose of the Study:

  • To evaluate the safety and efficacy of PEG insertions and changes in a pediatric population.
  • To compare complication rates with previously published pediatric PEG data.

Main Methods:

  • Retrospective review of 83 PEG insertions and 39 PEG changes.
  • Analysis of patient demographics including age (6 weeks to 19 years) and weight (4.7 kg to 80 kg).
  • Documentation and analysis of all complications, including need for open conversion and fistula formation.

Main Results:

  • A total of 122 procedures were analyzed (83 insertions, 39 changes).
  • The overall complication rate was lower than previously reported pediatric series.
  • Four patients required open conversion; one gastro-colic fistula occurred five months post-procedure.

Conclusions:

  • PEG procedures in children, when performed in this series, exhibit a favorable safety profile.
  • The complication rate suggests that PEG placement and management are effective in this pediatric cohort.
  • Further monitoring is essential to capture delayed complications such as fistula formation.

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