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Incisionless gastrostomy for nutritional support.

H Mago, C L Chen, D E Wesson

    Journal of Pediatric Gastroenterology and Nutrition
    |January 1, 1986
    PubMed
    Summary
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    Percutaneous endoscopic gastrostomy offers a safe and effective feeding tube placement for pediatric patients. This minimally invasive technique simplifies the procedure and reduces complications compared to traditional methods.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Endoscopy

    Background:

    • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for long-term enteral nutrition.
    • Traditional gastrostomy methods can involve significant risks and complications, particularly in pediatric patients.
    • There is a need for safer and simpler gastrostomy techniques in children.

    Purpose of the Study:

    • To evaluate the safety and efficacy of percutaneous endoscopic gastrostomy (PEG) in a pediatric and young adult population.
    • To compare the outcomes of PEG with traditional gastrostomy methods.
    • To assess the feasibility of performing PEG under local and topical anesthesia in eligible patients.

    Main Methods:

    • A cohort of 51 children and young adults (4 months to 26 years) underwent percutaneous endoscopic gastrostomy.

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  • Indications included malnutrition due to cystic fibrosis and central nervous system (CNS) disease.
  • Procedures were performed using local/topical anesthesia or general anesthesia for younger children (<8 years).

    • Main Results:

    • No procedure-related deaths occurred in the 51 patients.
    • Significant complications were less frequent than with traditional gastrostomy.
    • The procedure duration ranged from 20 to 60 minutes, with an average feeding gastrostomy maintenance of 5.6 months.

    Conclusions:

    • Percutaneous endoscopic gastrostomy is technically simpler and as safe as alternative gastrostomy methods.
    • This technique is particularly beneficial for pediatric patients, potentially avoiding general anesthesia.
    • PEG provides a safe and effective option for nutritional support in children and young adults requiring long-term feeding access.