Related Experiment Videos
Percutaneous endoscopic gastrostomy in children
Jye Hae Park1, Seonkyeong Rhie, Su Jin Jeong
1Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Korean Journal of Pediatrics
|March 2, 2011
Summary
Percutaneous endoscopic gastrostomy (PEG) provides safe and effective long-term enteral nutrition for neurologically impaired children. This feeding tube placement improved weight and reduced complications like vomiting and aspiration.
Area of Science:
- Pediatric Gastroenterology
- Surgical Nutrition
- Neurology
Background:
- Neurologically impaired children often require nutritional support.
- Percutaneous endoscopic gastrostomy (PEG) is a common method for enteral feeding.
- PEG can improve nutritional status and reduce feeding time in this population.
Purpose of the Study:
- To evaluate the characteristics, complications, and outcomes of PEG in neurologically impaired children.
- To assess the safety and efficacy of PEG for long-term nutritional support.
Main Methods:
- Retrospective review of 32 neurologically impaired children undergoing 42 PEG procedures (insertions and exchanges).
- Mean follow-up of 12.2 months.
- Analysis of indications, complications, and post-procedure outcomes.
Main Results:
- Main indications included swallowing difficulties, GI bleeding, and GERD.
- Overall complication rate was 47% (25% early, 22% late).
- Late complications included fistula, aggravated GERD, and wound infections. 87% of patients with pre-existing GERD showed improvement.
Conclusions:
- PEG is a safe, effective, and simple technique for long-term enteral nutrition in neurologically impaired children.
- PEG treatment led to increased body weight and reduced vomiting, GI bleeding, and aspiration.
- PEG with post-procedural observation is recommended for nutritional support in this patient group.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:28Endoscopic Procedures III: Video Capsule Endoscopy
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...