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Feeding after percutaneous endoscopic gastrostomy in children: early feeding trial

Mark R Corkins1, Joseph F Fitzgerald, Sandeep K Gupta

  • 1Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA. mcorkins@iupui.edu

Journal of Pediatric Gastroenterology and Nutrition
|April 14, 2010
PubMed

Insights

Starting early feeding after percutaneous endoscopic gastrostomy (PEG) placement in children is safe. This study found no increased complications when initiating feeding at 3 hours versus 6 hours post-procedure.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Procedures
  • Clinical Nutrition

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common method for pediatric feeding access.
  • Current practice often delays initial feeding due to safety concerns, with a minimum of 6 hours typically observed.

Purpose of the Study:

  • To compare the safety and tolerance of initiating enteral feeding at 3 hours versus 6 hours post-PEG placement in pediatric patients.

Main Methods:

  • A prospective randomized trial involving 40 pediatric patients undergoing PEG placement.
  • Patients were randomized to receive initial feeding at either 3 or 6 hours post-procedure.
  • Outcomes measured included abdominal girth changes, vomiting, gastric residual volume, and length of stay.

Main Results:

  • No statistically significant differences were observed between the 3-hour and 6-hour feeding groups in terms of vomiting, changes in abdominal girth, or gastric residual volumes.
  • The median length of hospital stay was comparable between both groups.
  • All measured parameters indicated similar tolerance and safety for early feeding initiation.

Conclusions:

  • Enteral feedings can be safely initiated as early as 3 hours after percutaneous endoscopic gastrostomy placement in children.
  • Early feeding does not lead to an increased incidence of complications.
  • This finding supports revising current clinical practices regarding post-PEG feeding protocols.
Abstract

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