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Percutaneous endoscopic gastrostomy in children: Is early feeding safe?

Ali Islek1, Ersin Sayar, Aygen Yilmaz

  • 1Department of Pediatric Gastroenterology, Akdeniz University Faculty of Medicine, Antalya, Turkey.

Journal of Pediatric Gastroenterology and Nutrition
|June 27, 2013
PubMed

Insights

Starting nutrition within 4 hours after percutaneous endoscopic gastrostomy (PEG) placement is safe and effective for pediatric patients. Early feeding significantly reduces hospital stays without increasing complications, making it a viable option.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Nutrition
  • Clinical Outcomes Research

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is crucial for nutritional support in children unable to feed orally.
  • Current practice often delays initial feeding post-PEG due to safety concerns.
  • Limited research exists on the safety and efficacy of early feeding in pediatric PEG patients.

Purpose of the Study:

  • To compare the safety and efficacy of early (4-hour) versus late (12-hour) feeding after pediatric PEG placement.
  • To evaluate complications and hospital stay duration associated with different feeding initiation times.

Main Methods:

  • A prospective randomized controlled study involving 69 pediatric patients undergoing PEG.
  • Patients were randomized into early (4-hour) and late (12-hour) feeding groups.
  • Complications, gastric residue, vomiting, fever, infection signs, and hospital stay were meticulously recorded. Home visits by nurses assessed post-discharge complications.

Main Results:

  • No significant differences in vomiting or minor gastric residue between early and late feeding groups.
  • Early feeding (4-hour) resulted in a significantly shorter hospital stay (6.7 hours) compared to late feeding (28.3 hours) (P < 0.001).
  • No cases of leakage, peritonitis, or aspiration were observed in either group.

Conclusions:

  • Initiating feeding at 4 hours post-PEG is safe and well-tolerated in pediatric patients.
  • Early feeding significantly reduces hospitalization duration.
  • Prophylactic antibiotics are likely unnecessary for PEG procedures.
Abstract

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