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Percutaneous endoscopic gastrostomy in infants
1Department of Pediatrics, College of Medicine, National Taiwan University, Taipei, ROC.
Insights
Percutaneous endoscopic gastrostomy (PEG) is a safe and effective nonsurgical feeding method for infants. This study shows PEG provides good nutritional support, with minor wound infections responding well to antibiotics.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
Background:
- Nasogastric tube feeding is a temporary solution for infant enteral feeding.
- Long-term enteral nutrition is crucial for infant growth and development.
Observation:
- Three infants (5-14 months) transitioned to percutaneous endoscopic gastrostomy (PEG) after a month of nasogastric feeding.
- The Ponsky-pull technique was used for PEG insertion.
- Two infants experienced superficial wound infections (Pseudomonas sp. and staphylococcal colonization) at the PEG site.
Findings:
- All infants achieved adequate nutritional support via PEG.
- Wound infections were successfully treated with antibiotics.
- PEG insertion using the Ponsky-pull technique was technically feasible in infants.
Implications:
- Percutaneous endoscopic gastrostomy (PEG) offers a safe and straightforward nonsurgical option for long-term enteral feeding in infants.
- Early identification and management of wound infections are important for successful PEG outcomes.
- PEG may be a valuable alternative to prolonged nasogastric tube feeding in pediatric populations.
Abstract:
After a trial of 1 month of nasogastric tube feeding, three infants (aged 5-14 mo) underwent percutaneous endoscopic gastrostomy (PEG) to enable long-term enteral feeding. The Ponsky-pull technique was employed for PEG insertion. In two patients, the procedure was complicated by superficial wound infection at the cutaneous exists of the PEG tubes: one with Pseudomonas sp and the other staphylococcal colonization. Both responded well to antibiotic treatment. All patients obtained good nutritional support. The preliminary experience reported here suggests that, even in infants, PEG is a safe and easy nonsurgical method of enteral feeding.