Related Experiment Videos
How to avoid complications during percutaneous endoscopic gastrostomy
S W Beasley1, A G Catto-Smith, P M Davidson
1Department of General Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Journal of Pediatric Surgery
|May 1, 1995
Summary
Percutaneous endoscopic gastrostomy (PEG) is a common procedure for children, but technical issues can arise during insertion. This report details potential problems and offers strategies to minimize complications like esophageal injury and colonic perforation.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Endoscopy
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a widely accepted method for enteral feeding in pediatric patients.
- Compared to open gastrostomy, PEG offers several advantages, making it a preferred technique.
Purpose of the Study:
- To identify potential technical problems encountered during pediatric PEG insertion.
- To propose preventative measures to reduce the likelihood of these complications.
Main Methods:
- Review of known complications associated with PEG insertion in children.
- Analysis of factors contributing to technical difficulties during the procedure.
Main Results:
- Common complications include esophageal injury, colonic perforation, and wound infections.
- Gastric erosion by the tube and symptomatic gastroesophageal reflux are also recognized issues.
- Fundoplication may be required later to correct reflux.
Conclusions:
- Awareness of potential technical problems is crucial for successful pediatric PEG placement.
- Implementing specific precautions can significantly decrease the incidence of major complications.
- Careful technique and monitoring are essential for patient safety and optimal outcomes.