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Infant Percutaneous Endoscopic Gastrostomy: Risks or Benefits?
Francesco Macchini1, Andrea Zanini1, Giorgio Farris1
1Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Percutaneous endoscopic gastrostomy (PEG) tube placement is safe and effective in infants. This study shows successful outcomes with minimal complications in pediatric patients requiring feeding support.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Procedures
- Infant Nutrition
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a crucial intervention for infants with feeding difficulties.
- Evaluating the safety and efficacy of PEG tube placement in infants is essential for optimizing patient care.
Purpose of the Study:
- To report on a single center's experience with percutaneous endoscopic gastrostomy (PEG) tube placement in infants.
- To assess the feasibility, outcomes, and complications associated with PEG procedures in a pediatric population.
Main Methods:
- A retrospective review of clinical records for infants undergoing PEG placement between 2010 and 2015.
- Pre-procedure imaging included upper gastrointestinal contrast study and abdominal ultrasonography.
- Standard pull-through technique using a 6-mm endoscope was employed.
Main Results:
- Twenty-three infants were included, with dysphagia due to hypoxic-ischemic encephalopathy being the most common indication.
- Median age at procedure was 114 days; 12-Fr tubes were used in most cases.
- Feeding started by day 3, with a full diet achieved by day 5; only six minor complications occurred.
Conclusions:
- Percutaneous endoscopic gastrostomy (PEG) is a safe and feasible procedure for infants.
- Experienced physicians performing PEG procedures in infants achieve favorable outcomes with low complication rates.
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