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[Surgical and nutritional evaluation of children with percutaneous endoscopic gastrostomy]

I Tuduri Limousin1, A Gracia Velilla, J González Caro

  • 1Servicio de Cirugía Pediátrica, Hospital Infantil Virgen del Rocío, Sevilla. tuduri@yahoo.com

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|December 5, 2009
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) improves nutrition in patients with swallowing difficulties. This study found PEG safe and effective, enhancing quality of life for children and families.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Nutrition
  • Medical Device Technology

Context:

  • Percutaneous endoscopic gastrostomy (PEG) is crucial for nutritional support in patients with deglutition disorders.
  • Evaluating surgical and nutritional outcomes is essential for optimizing PEG procedures.
  • Patient satisfaction and long-term device management are key considerations.

Purpose:

  • To assess the surgical outcomes, nutritional efficacy, and patient satisfaction associated with PEG in a pediatric cohort.
  • To determine the safety and feasibility of PEG in patients with co-existing conditions such as ventriculo-peritoneal shunts (VPS) and peritoneal dialysis catheters (PDC).

Summary:

  • A retrospective study analyzed 83 PEG implantations in neurological and cystic fibrosis patients (mean age 7 years).
  • Complications were mild in 12% and severe in 3 patients, requiring 2 reinterventions. Nutritional status improved significantly, with 96% satisfactory weight gain and 97% normalized biochemical indicators.
  • VPS and PDC were not contraindications; 40 patients retained the device, 25 were removed, and 17 patients died during follow-up.

Impact:

  • PEG facilitates nutritional recovery with a low complication rate, improving the quality of life for pediatric patients and their families.
  • The findings support the use of PEG even in patients with VPS or PDC, expanding its applicability.
  • This study provides valuable data for clinicians managing pediatric patients requiring long-term enteral nutrition.
Abstract

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