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Gastrostomy complications in infants and children
M A Kutiyanawala1, A Hussain, J M Johnstone
1Department of Paediatric Surgery, Leicester Royal Infirmary.
Insights
Percutaneous endoscopic gastrostomy (PEG) is a feeding tube procedure for children. Complications like fistula, reflux, and infection occurred in 13 of 30 patients, requiring management.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Medical devices
Background:
- Percutaneous endoscopic gastrostomy (PEG) is frequently used for nutritional support in children.
- Complications associated with PEG insertion can impact patient outcomes and require effective management strategies.
Purpose of the Study:
- To review the outcomes of PEG insertion in a pediatric population.
- To identify and analyze the types and incidence of complications following PEG placement.
- To discuss the management approaches for identified complications.
Main Methods:
- Retrospective review of medical records for 30 children who underwent PEG insertion.
- Data collection on complications occurring during a follow-up period of 5-45 months (mean 24 months).
- Categorization and analysis of reported complications.
Main Results:
- Complications were recorded in 13 out of 30 pediatric patients.
- Multiple complications were observed in some patients.
- Specific complications included: colocutaneous fistula, gastro-oesophageal reflux, wound infection, granulation tissue formation, tube leakage, tube blockage, and bleeding.
Conclusions:
- PEG insertion in children is associated with a notable rate of complications.
- Prompt identification and appropriate management are crucial for addressing PEG-related complications.
- Further research may be warranted to optimize PEG procedures and minimize adverse events in pediatric patients.
Abstract:
Thirty children have had percutaneous endoscopic gastrostomy (PEG) inserted for feeding purposes. During a follow-up period of 5-45 months (mean 24 months), complications were recorded in 13 patients. Some patients had more than one complication. Complications included colocutaneous fistula, gastro-oesophageal reflux, wound infection, granulation tissue formation, tube leakage, tube blockage and bleeding. The authors present a retrospective review of the results and discuss the management of these complications.