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Percutaneous endoscopic gastrostomy in children.
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Stollery Children's Hospital, Faculty of Medicine, University of Alberta, Edmonton. WaelElMatary@Capitalhealth.ca
Summary
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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