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Gastrostomy tube feeding in children: a single-center experience

Marina Pagliaro1, Vu Dang Chau Tran1, Alain M Schoepfer2

  • 1Division of Pediatric Gastroenterology Hepatology and Nutrition, Centre Hospitalier Universitaire Vaudois [CHUV] and University of Lausanne, Lausanne, Switzerland.

BMC Gastroenterology
|January 10, 2025
PubMed

Insights

Percutaneous endoscopic gastrostomy (PEG) is a safe procedure for pediatric enteral nutrition, particularly for children with neurological conditions. It leads to significant weight gain and manageable complications.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Procedures
  • Nutritional Support

Background:

  • Limited data exists on percutaneous endoscopic gastrostomy (PEG) indications and outcomes in Swiss pediatric populations.
  • This study addresses this gap by presenting single-center experience with PEG in children.

Purpose of the Study:

  • To evaluate the indications, outcomes, and complications of PEG placement in pediatric patients in Switzerland.
  • To assess the impact of PEG on growth parameters in children.

Main Methods:

  • Retrospective analysis of 81 pediatric patients (<18 years) who underwent PEG placement between 2007 and 2016.
  • Data collected included demographics, indications, comorbidities, pre-placement workup, growth parameters, and complications.

Main Results:

  • Common indications were inadequate caloric intake (85%) and feeding difficulties, often associated with neurological conditions (46%).
  • Significant increases in weight and BMI z-scores were observed 12 months post-PEG (p<0.002 and p<0.001, respectively).
  • Minor complications (68%) like granulation tissue were frequent but manageable; major complications occurred in 2 patients.

Conclusions:

  • Percutaneous endoscopic gastrostomy (PEG) is a safe and effective method for long-term enteral nutrition in children.
  • Neurological disease is a primary indication for PEG in this pediatric cohort.
  • PEG placement results in significant growth improvement in children, with generally well-controlled complications.
Abstract

Keywords:
ChildrenEnteral feedingMalnutritionNeurological diseasePediatricPercutaneous endoscopic gastrostomy

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