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[Percutaneous endoscopic gastrostomy in pediatric practice]

C Le Gall1, A Lachaux, I Loras-Duclaux

  • 1Service de pédiatrie, hôpital Edouard-Herriot, Lyon, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|April 1, 1995
PubMed
Summary

Percutaneous endoscopic gastrostomy (PEG) offers a safe and effective alternative for enteral nutrition. This minimally invasive procedure is practical, cost-effective, and has low complication rates, especially in pediatric patients.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Pediatric Endoscopy

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a widely adopted alternative to traditional feeding methods.
  • It bypasses the need for nasogastric tubes or surgical gastrostomy.
  • PEG facilitates enteral nutrition delivery for patients requiring long-term feeding support.

Purpose of the Study:

  • To evaluate the efficacy and safety of the percutaneous endoscopic gastrostomy (PEG) procedure.
  • To highlight PEG as a viable alternative for enteral feeding.
  • To assess the complication rates associated with PEG, particularly in pediatric cases.

Main Methods:

  • The study describes the percutaneous endoscopic gastrostomy (PEG) procedure, noting the requirement for two practitioners, including an endoscopist.

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  • Techniques discussed include local or general anesthesia, bedside or operating room settings, and pull or push methods for device placement.
  • The procedure involves delivering enteral nutrients via a gastrostomy tube or button.

    • Main Results:

    • Percutaneous endoscopic gastrostomy (PEG) is presented as a simple, safe, practical, and aesthetically pleasing option.
    • The morbidity rate associated with PEG in pediatric practice is notably low, less than 1%.
    • Overall morbidity is reported to be less than 10%, underscoring the procedure's safety profile.

    Conclusions:

    • Percutaneous endoscopic gastrostomy (PEG) is a highly effective and safe method for providing enteral nutrition.
    • Its low complication rates, especially in pediatric patients, make it a preferred choice.
    • PEG is recognized for its practicality, cost-effectiveness, and patient-friendly characteristics.