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Percutaneous endoscopic gastrostomy in children

Wael El-Matary1

  • 1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Stollery Children's Hospital, Faculty of Medicine, University of Alberta, Edmonton. WaelElMatary@Capitalhealth.ca

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
|December 20, 2008
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) aids nutritional support in children and adults. This review details PEG indications, contraindications, and complications, identifying areas for future research.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Percutaneous endoscopic gastrostomy (PEG) has been a vital method for nutritional rehabilitation since 1980.
  • While initially developed for pediatric use, PEG is now crucial for nutritional support in a significant adult population.
  • PEG tube insertion is generally safe, but complication rates vary.

Purpose of the Study:

  • To provide an updated review of indications for PEG in children.
  • To outline contraindications for PEG procedures in pediatric patients.
  • To discuss current knowledge on PEG complications and identify areas for future research.

Main Methods:

  • Literature review of percutaneous endoscopic gastrostomy in children.
  • Analysis of indications, contraindications, and complications.
  • Identification of research gaps.

Main Results:

  • PEG remains a key intervention for nutritional support in pediatric patients.
  • Understanding indications and contraindications is crucial for safe application.
  • Complication rates necessitate ongoing monitoring and research.

Conclusions:

  • Percutaneous endoscopic gastrostomy is an established and valuable tool for pediatric nutritional support.
  • Further research is needed to refine indications, minimize complications, and optimize outcomes.
  • This review synthesizes current knowledge and highlights future research directions.

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