Percutaneous endoscopic gastrostomy in children--a 5-year experience

Area of Science:

• Pediatric Gastroenterology
• Surgical Procedures
• Medical Device Applications

Background:

• Percutaneous endoscopic gastrostomy (PEG) has been utilized in pediatric care since 1979.
• While offering significant benefits, PEG procedures carry recognized risks and complications.
• Indications for PEG placement in children are diverse.

Purpose of the Study:

• To review the institutional experience with pediatric PEG procedures over a 5-year period.
• To analyze patient demographics, indications for PEG, anesthesia duration, and associated complications.
• To assess the safety and efficacy of PEG in a South African tertiary pediatric hospital.

Main Methods:

• Retrospective review of case records.
• Analysis of 70 pediatric PEG procedures.
• Data collection on patient characteristics, indications, anesthesia time, and outcomes.

Main Results:

• A total of 70 PEGs were performed, with a mean patient age of 4 years and 3 months.
• The primary indication was inability to swallow (77%), followed by improving caloric intake (21%).
• Major complications occurred in 6% of patients, and 17% required antireflux surgery post-PEG.

Conclusions:

• Demand for pediatric PEGs is increasing.
• Complication rates are comparable to international reports, but underutilization for caloric intake may exist.
• Post-PEG gastroesophageal reflux disease is a key complication requiring strategies for reduction.