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Percutaneous Endoscopic Gastrostomy Feeding in Children with Cerebral Palsy

Hasret Ayyildiz Civan1, Gonca Bektas2, Ali Evrim Dogan3

  • 1Department of Pediatric Gastroenterology, Hepatology and Nutrition, Bakırköy Dr. Sadi Konuk Research and Training Hospital, University of Health Sciences, Istanbul, Turkey.

Neuropediatrics
|June 30, 2021
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) effectively improves malnutrition and reduces vomiting in pediatric cerebral palsy (CP) patients. This safe and cost-effective intervention enhances nutritional status and tolerability in this vulnerable population.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Neurology

Background:

  • Congenital cerebral palsy (CP) affects 0.15-0.4% of children globally.
  • Gastrointestinal complications in CP hinder normal eating and lead to malnutrition.
  • Effective nutritional support is crucial for managing pediatric CP patients.

Purpose of the Study:

  • To evaluate the tolerability and benefits of percutaneous endoscopic gastrostomy (PEG) in pediatric CP patients with malnutrition.
  • To assess the impact of PEG on nutritional status and gastrointestinal symptoms.

Main Methods:

  • A single-center observational study involving 41 pediatric CP patients with malnutrition.
  • Retrospective analysis of patient data, including anthropometric measurements and blood parameters (vitamin D3, folate, iron, zinc, B12, hemoglobin).
  • Data collected at baseline and at 3 and 6 months post-PEG insertion, with standard polymeric enteral supplementation.

Main Results:

  • Significant improvements in height, weight, and triceps skinfold thickness were observed at 3 and 6 months post-PEG (p < 0.05).
  • A significant decrease in the number of patients with low hemoglobin levels was noted (p = 0.022).
  • Vomiting frequency significantly reduced after PEG insertion at 3 and 6 months (p = 0.004).

Conclusions:

  • Percutaneous endoscopic gastrostomy (PEG) is a safe and well-tolerated intervention for pediatric CP patients with malnutrition.
  • PEG significantly improves nutritional status and reduces gastrointestinal complications like vomiting.
  • PEG represents a beneficial and cost-effective treatment option for improving the quality of life in pediatric CP patients.
Abstract

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