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Percutaneous endoscopic gastrostomy placement in children
1Department of Pediatric and Adolescent Medicine, Cleveland Clinic Foundation, Ohio.
Gastrointestinal Endoscopy Clinics of North America
|January 1, 1994
Insights
Percutaneous endoscopic gastrostomy tubes are frequently used in children. This review covers placement techniques, indications, and complications, including recent percutaneous endoscopic jejunostomy data.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
Background:
- Percutaneous endoscopic gastrostomy (PEG) tube placement is a widely adopted procedure for pediatric nutritional support.
- Established in 1980, PEG placement has become a standard intervention for various pediatric conditions requiring long-term enteral feeding.
Purpose of the Study:
- To review the indications for and techniques of percutaneous endoscopic gastrostomy tube placement in children.
- To discuss the potential complications associated with PEG procedures in pediatric patients.
- To summarize current data on percutaneous endoscopic jejunostomy (PEJ) in children.
Main Methods:
- Literature review of percutaneous endoscopic gastrostomy and jejunostomy placement in pediatric populations.
- Analysis of indications, procedural techniques, and complication profiles.
- Synthesis of recent clinical experience with PEJ.
Main Results:
- PEG placement is a common and effective method for enteral feeding in children.
- Detailed discussion of specific indications and technical aspects of PEG insertion.
- Complications, though infrequent, are outlined, alongside recent findings on PEJ.
Conclusions:
- Percutaneous endoscopic gastrostomy is a well-established and valuable procedure in pediatric care.
- Understanding indications, techniques, and complications is crucial for successful PEG and PEJ placement.
- PEJ offers an alternative route for enteral access when gastric access is not feasible.
Abstract:
Percutaneous endoscopic placement of gastrostomy tubes in children has become common since its introduction in 1980. Indications and technique for placement, as well as complications in children are discussed. A summary of the recent experience with percutaneous endoscopic jejunostomy is also provided.