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Early percutaneous endoscopic gastrostomy (PEG). A safe and effective enteral feeding technique in neurologic
P De Vivo1, P Mastronardi, P Ciritella
1II Servizio di Anestesia e Rianimazione, Ospedal Casa Sollievo della Sofferenza IRCCS, San Giovanni Rotondo (FG), Italy.
Insights
Percutaneous gastrostomy feeding is the best choice for neonatal intensive care unit (NICU) patients, enabling early gut activation and preventing organ failure. This method offers advantages over nasogastric tubes with good patient and nurse compliance.
Area of Science:
- Neonatal Medicine
- Pediatric Gastroenterology
- Surgical Nutrition
Background:
- Enteral feeding is crucial for neonatal intensive care unit (NICU) patients.
- Percutaneous gastrostomy is recognized as a preferred method for nutritional support.
- Early gut activation is vital to prevent multiorgan failure syndrome.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous gastrostomy in NICU patients.
- To assess the benefits of early enteral nutrition and drug administration via gastrostomy.
- To compare percutaneous gastrostomy with traditional feeding methods.
Main Methods:
- Retrospective study of 76 NICU patients between January 1992 and April 1994.
- Percutaneous gastrostomy performed at the bedside.
- Early enteral nutrition and drug administration initiated.
Main Results:
- Percutaneous gastrostomy was easily and safely performed.
- Low incidence of infections associated with central and peripheral vein catheterization.
- Avoidance of nasogastric tube complications and improved patient/nurse compliance.
Conclusions:
- Percutaneous gastrostomy is a safe and effective method for enteral feeding in NICU patients.
- This technique facilitates early gut activation and reduces infectious complications.
- The study proposes 13 guidelines for optimal gastrostomy management.
Abstract:
Enteral feeding by percutaneous gastrostomy is recommended as the "best choice" in NICU patients. It allows us to obtain early gut activation and to prevent physiopathologic events leading to multiorgan failure syndrome. In this retrospective study the Authors describe their experience related to 76 patients admitted in NICU between January 1992 and April 1994. In these patients percutaneous gastrostomy was easily and safety performed at the bedside with early enteral nutrition and drug administration and a related low incidence of infections complicating central and peripheral vein catheterization. Moreover the authors underline the avoidance of nasogstric tube and its side effects and a good compliance of patients and nurses that seems to be a real advantage of this technique. The authors suggest their 13 guidelines to improve management of enteral nutrition by gastrostomy and to avoid its short-comings.