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Postoperative complications following percutaneous endoscopic gastrostomy are common in children

E Hansen1, N Qvist1, L Rasmussen1

  • 1Department of Surgery, Odense University Hospital, Odense, Denmark.

Acta Paediatrica (Oslo, Norway : 1992)
|April 5, 2017
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) placement in children using the pull-through method resulted in a high rate of postoperative complications. Further research is needed to standardize complication reporting for this common pediatric procedure.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Device Technology

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is vital for enteral nutrition in children with eating difficulties.
  • The pull-through method has been the standard technique for PEG insertion.

Purpose of the Study:

  • To evaluate the perioperative and postoperative complications associated with the pull-through method for PEG placement in pediatric patients.
  • To analyze the incidence and severity of complications using the Clavien-Dindo classification.

Main Methods:

  • Retrospective review of 229 pediatric patients undergoing PEG insertion from 2000-2012.
  • Analysis of complication data, graded using the Clavien-Dindo classification.
  • Median follow-up period of 36 months.

Main Results:

  • Over half of the patients (51.5%) experienced 167 postoperative complications.
  • Complications included grade 1 (89), grade 2 (49), and grade 3b (29).
  • Perioperative complications were low (2.6%), with no identified preoperative risk factors or gastrostomy-related deaths.

Conclusions:

  • PEG placement via the pull-through method is linked to a significant rate of varied postoperative complications in children.
  • A standardized approach to reporting and grading complications is necessary for this procedure.
  • Further investigation into optimizing PEG procedures to minimize complications is warranted.
Abstract

Keywords:
Clavien-Dindo classificationFeeding tube placementPercutaneous endoscopic gastrostomyPerioperative complicationsPostoperative complications

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