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Safety techniques for percutaneous endoscopic gastrostomy tube placement in Pierre Robin Sequence

Dina Al-Zubeidi1, Riad M Rahhal

  • 1Department of Pediatrics, Division of Pediatric Gastroenterology, University of Iowa, Iowa City 52241, USA.

JPEN. Journal of Parenteral and Enteral Nutrition
|February 2, 2011
PubMed

Insights

Pierre Robin Sequence (PRS) infants often need feeding tubes. This study details a safe technique for percutaneous endoscopic gastrostomy (PEG) tube placement in PRS patients, improving procedure success and safety.

Area of Science:

  • Craniofacial anomalies
  • Pediatric surgery
  • Gastroenterology

Background:

  • Pierre Robin Sequence (PRS) is a congenital condition involving micrognathia, glossoptosis, and cleft palate.
  • Infants with PRS commonly experience feeding difficulties, necessitating enteral nutrition.
  • Securing enteral feeding routes in PRS patients presents unique challenges.

Observation:

  • A case of an infant with PRS requiring supplemental nutrition is presented.
  • Percutaneous endoscopic gastrostomy (PEG) tube placement was performed.
  • Specific procedural techniques were employed to enhance safety and success.

Findings:

  • Successful PEG tube placement was achieved in an infant with PRS.
  • The procedure was completed without any complications.
  • Key techniques for optimizing PEG placement in PRS were identified.

Implications:

  • The findings suggest a safe and effective method for PEG tube placement in PRS patients.
  • Improved procedural techniques can mitigate risks associated with enteral feeding in this population.
  • This approach may enhance nutritional support and patient outcomes for infants with PRS.

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