Related Experiment Videos
Percutaneous endoscopic gastrostomy in children: a safe technique with major symptom relief and high parental
Tone Lise Avitsland1, Charlotte Kristensen, Ragnhild Emblem
1University of Oslo, Rikshospitalet-Radiumhospitalet Medical Center, Oslo, Norway.
Insights
Percutaneous endoscopic gastrostomy (PEG) is a safe enteral feeding method for children, with most families reporting positive outcomes and willingness to repeat the procedure. While minor stoma issues are common, major complications are infrequent.
Area of Science:
- Pediatric Gastroenterology
- Surgical Interventions
- Nutritional Support
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a standard procedure for establishing enteral feeding in pediatric patients.
- Assessing the immediate and long-term outcomes of PEG insertion is crucial for understanding its overall efficacy and safety.
Purpose of the Study:
- To evaluate the immediate and long-term results of percutaneous endoscopic gastrostomy (PEG) in children.
- To assess patient morbidity, indications, preoperative factors, and complications associated with PEG insertion.
Main Methods:
- Retrospective review of 121 children undergoing PEG insertion.
- Data collection included patient demographics, indications, perioperative complications, and morbidity.
- Long-term outcomes were assessed through interviews with parents/caregivers of 85 children.
Main Results:
- Perioperative complications occurred in 12% of cases.
- 94% of parents/caregivers reported a positive influence of PEG on their child's condition, with 98% indicating they would choose PEG again.
- While 73% experienced stoma-related complications, major complications were rare, and functional improvements like reduced vomiting (61%) and enhanced oral intake (43%) were noted.
Conclusions:
- Percutaneous endoscopic gastrostomy (PEG) is a safe and beneficial method for pediatric enteral feeding, even in critically ill children.
- Most children experience minor stoma-related issues, but the overall parental satisfaction and perceived benefit are high.
- PEG insertion significantly aids both the child's nutritional status and the caregivers' burden.
Background:
Percutaneous endoscopic gastrostomy (PEG) is widely used for establishing enteral feeding. The aim of this study was to assess immediate and long-term results after PEG insertion.
Patients And Methods:
A total of 121 children were retrospectively reviewed. Median age was 2.4 years (range, 4 months-13.2 years) at the time of PEG insertion. Patient morbidity, indications for PEG, preoperative findings and perioperative complications were registered retrospectively. Parents/caregivers of 85 children were interviewed for long-term results.
Results:
Perioperative complications were seen in 12%. Twenty-four percent died at a median of 15 months (range, 1.5 months-8 years) after PEG. Eighty-five families were interviewed with a median follow-up time of 5.6 years (range, 1-10 years). A substantial majority (94%) of parents/caregivers reported that the PEG had a positive influence on their child's situation, and 98% would have chosen PEG insertion again. Vomiting/retching improved in 61% of the children, and oral intake enhanced in 43%. Stoma-related complications were frequent (73%). The gastrostomy tube was permanently removed at a median of 3 years (range, 7 months-7.3 years) after PEG placement in 25%. Delayed closure of the gastrocutaneous fistula after gastrostomy removal occurred in 48% of them. Time from insertion to removal was not predictive of delayed closure.
Conclusion:
PEG is a safe technique for establishing enteral feeding, even in very sick children. Major complications are rare, although most children experience minor stoma-related problems. Parents/caregivers report that the gastrostomy is of great help for themselves and their child.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:26Endoscopic Procedures V: ERCP
Patient...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:28Endoscopic Procedures III: Video Capsule Endoscopy