Related Experiment Videos
Percutaneous endoscopic gastrostomy in children: influence on gastroesophageal reflux
V Launay1, F Gottrand, D Turck
1Department of Pediatric Gastroenterology, University Hospital, Lille, France.
Insights
Percutaneous endoscopic gastrostomy (PEG) does not worsen gastroesophageal reflux (GER) in children. This study found PEG is not a contraindication for children with GER, contrary to surgical gastrostomy.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
Background:
- Limited and contradictory data exist on the relationship between percutaneous endoscopic gastrostomy (PEG) and gastroesophageal reflux (GER) in pediatric patients.
- Understanding this relationship is crucial for managing children requiring enteral nutrition.
Purpose of the Study:
- To evaluate the effect of PEG on GER in children.
- To determine if PEG is a contraindication for patients with GER.
Main Methods:
- Twenty children underwent PEG for enteral nutrition.
- A pH study was conducted before and after PEG to assess GER status.
- Children were analyzed with or without existing GER treatment.
Main Results:
- Six children with abnormal GER before PEG showed improvement or normalization after the procedure.
- GER in children with previously normal pH studies remained normal.
- The mean reflux index did not significantly change after PEG (5.5% vs 5.6%).
Conclusions:
- Percutaneous endoscopic gastrostomy (PEG) does not exacerbate GER in pediatric patients.
- GER should not be considered a contraindication for performing PEG.
- PEG offers a viable option for enteral nutrition without worsening reflux.
Objective:
Few data exist in the literature about the relationship between percutaneous endoscopic gastrostomy (PEG) and gastroesophageal reflux (GER) in children, and the data that do exist are contradictory. The aim of the present study was to evaluate the effect of PEG on GER.
Methods:
Twenty children underwent PEG for enteral nutrition. They were 55 +/- 55 months old and weighed 13 +/- 10 kg. A pH study was performed before and after PEG without treatment when GER status was unknown (n = 10) or under treatment (n = 10) if previous GER was demonstrated. In these cases, the pH study was performed under the same treatment before and after PEG.
Results:
Six pH studies had abnormal results before PEG. After PEG, the GER of these 6 children significantly improved after the treatment was intensified (n = 50 or spontaneously normalized (n = 1). Results of 13 pH studies that were previously normal remained normal. Only one child with a normal reflux index before PEG had GER after it. For the 20 children, the mean reflux index did not change significantly after PEG (5.5% vs 5.6%).
Conclusion:
Contrary to surgical gastrostomy, PEG does not worsen GER. Therefore, GER is not a contraindication to PEG.