Indications for Percutaneous Endoscopic Gastrostomy and Procedure‐related Outcome

Srinivasan, Ramesh; Irvine, Tracey; Dalzell, Mark

doi:10.1097/mpg.0b013e31819a4e8c

Cited by 57 publications

(47 citation statements)

References 19 publications

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“…When the distribution of 34 patients included in this study was examined, it was observed that the patients with neurological problems were in the first order. This was compatible with the large series published worldwide (8,9). In two studies conducted in our country, it was reported that children with neurological diseases were in the first order among the pediatric subjects in whom PEG was placed (4,10).…”

Section: Discussionsupporting

confidence: 76%

“…Srinivasan et al (9) reported 49 of a total of 601 procedures were removal of PEG in their study. In our series, PEG removal was performed in only one of 34 children.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, it was observed that metabolic diseases were in the second order (n=9). In the study of Srinivasan et al (9), it was reported that 160 (41.6%) of 384 subjects in whom PEG was placed had neurological problems and seven (1.8%) had metabolic problems.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous endoscopic gastrostomy in children: a single center experience

Koca¹,

Sivrice²,

Dereci³

et al. 2015

Turk Pediatri Ars

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Aim: The aim of this study was to evaluate the demographic data and complication rates in children who had undergone percutaneous endoscopic gastrostomy in a three-year period in our Division of Pediatric Gastroenterology and to interrogate parental satisfaction. Material and Methods:The demographic data, complications and follow-up findings of the patients who had undergone percutaneous endoscopic gastrostomy between March 2011 and March 2014 were examined retrospectively using medical files. Results: Forty seven percutaneous endoscopic gastrostomy and percutaneous endoscopic gastrostomy related procedures were performed in 34 children during a three-year period. The median age of the patients was 2.25 years (3 months-16 years, first and third quartiles=1.0-6.0) and the mean body weight was 13.07±8.6 kg (3 kg-47 kg). Before percutaneous endoscopic gastrostomy procedure, the mean weight z score was -2.26±1.2 (-5-0) and the mean height z score was -2.25±0.96 (-3.85-0.98). The follow-up mean height and weight Z scores at the 12 th month after the percutaneous endoscopic gastrostomy procedure could be reached in 24 patients. A significant increase in the mean weight Z score from -2.41 to -1,07 (p=0.000) and in the mean height Z score from -2.29 to -1.99 (p=0.000) was found one year after percutaneous endoscopic gastrostomy catheter was placed in these 24 patients. Patients with neurological and metabolic diseases constituted the majority (64.7% and 26.5% respectively). Peritoneal leakage of food was detected in one patient and local stoma infections were detected in three patients after the procedure. During the follow up period, "Buried bumper syndrome" was observed in one patient. Following percutaneous endoscopic gastrostomy, the number of patients using anti-reflux medication increased from 16 (47.1%) to 18 (52.9%) (p=0.62). One patient with cerebral palsy who had aspiration pneumonia after percutaneous endoscopic gastrostomy insertion had undergone Nissen fundoplication. Percutaneous endoscopic gastrostomy tube was removed in a patient. The parents had positive views related with percutaneous endoscopic gastrostomy after the procedure. Conclusions: Percutaneous endoscopic gastrostomy is a substantially successful and reliable method in infants as well as in children and adolescents. The parents had positive views related with percutaneous endoscopic gastrostomy after the procedure. (Turk Pediatri Ars 2015; 50: 211-6)

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Section: Discussionsupporting

confidence: 76%

“…Srinivasan et al (9) reported 49 of a total of 601 procedures were removal of PEG in their study. In our series, PEG removal was performed in only one of 34 children.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous endoscopic gastrostomy in children: a single center experience

Koca¹,

Sivrice²,

Dereci³

et al. 2015

Turk Pediatri Ars

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show abstract

“…Only minor complica on were seen which was erythema of the skin, similar complica ons were also reported by a group from Liverpool, United Kingdom 25 .…”

Section: Discussionsupporting

confidence: 56%

Percutaneous Endoscopic Gastrostomy in Children: Experience from Single Center of a Developing Country

Kehar¹,

Wadhwa²,

Upadhyay³

2014

J. Nepal Paedtr. Soc.

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Introduction: Nutrition is of paramount importance for adequate growth and development of a child. Various routes of providing enteral nutrition to a paediatric patient are by nasogastric, nasojejeunal and gastrostomy which can be placed surgically or endoscopically. The objectives of this study were to review cases with percutaneous endoscopic gastrostomy (PEG) procedure and patient characteristics, indications, complications and outcome of PEG tube insertion in children at our center. Materials and Methods:This was a prospective study carried out in Sir Ganga Ram Hospital in New Delhi, India for a period of two years from August 2010 to August 2012. It included patients in whom PEG tube were placed during the study period and have had at least one year of post procedure follow up. Demograhic details, duration of procedure, complications, initial weight and height and then at 3 month, 6 months and 12 months of PEG tube placement were also recorded. Data between groups was compared using ANOVA and within groups across follow-ups was done using paired t-test. Results: Fourty six PEG insertions were performed during the study period, 26 twenty six conversions to BRT or Mickey button and ten PEG removals. The main indications for PEG insertion were Cerebral palsy with feeding difficulty (47.8 %). Erythema at the PEG insertion site was the most common complication (21%). There was significant improvement in the weight and height in all age group of patients at 3, 6 and 12 months post procedure with a p value <0.5. The average weight gain after 3, 6 and 12 months was 1.3 kg, 2.8 kg and 4.2 kg and the average height gain after 3, 6 and 12 months was 1.6 cm, 2.5 cm and 4.13 cm respectively. Conclusions: PEG is effective means for optimizing the nutritional goals of patients who are nutritionally debilitated with minimal complications.

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“…PEG placement is a common indication for endoscopy of the upper gastrointestinal tract (Park et al, 2011;Srinivasan et al, 2009), and is now much more widely used than surgical or radiological insertion. Rates of PEG insertion have risen in recent years: in 1989, 15,000 PEG tubes were placed; in 1995, 121,000 PEG tubes were placed, and in 2000, more than 216,000 tubes were inserted for feeding (Delegge, 2008;Grant et al, 1998;Roche, 2003;Duszak & Mabry, 2003).…”

Section: Percutaneous Endoscopic Gastrostomymentioning

confidence: 99%