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Percutaneous endoscopic gastrostomy in infants
1Department of Pediatrics, College of Medicine, National Taiwan University, Taipei, ROC.
Journal of the Formosan Medical Association = Taiwan Yi Zhi
|October 1, 1995
Summary
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.