Percutaneous Endoscopic Gastrostomy in Children: A Safe Technique with Major Symptom Relief and High Parental Satisfaction

Åvitsland, Tone Lise; Kristensen, Charlotte; Emblem, Ragnhild; Veenstra, Marijke; Mala, Tom; Björnland, Kristin

doi:10.1097/01.mpg.0000229550.54455.63

Cited by 112 publications

(108 citation statements)

References 33 publications

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“…While the majority of parents resisted to placement of PEG initially, most of them were satisfied with the outcome (21). In the study of Avitslan et al (23) in which 121 children who had a PEG catheter were evaluated retrospectively, 98% of the parents reported that they could again decide to let their children have a PEG catheter placed. Similarly, positive answers were obtained in our study when the parents were asked if they would let their children have a PEG catheter placed if they had to decide again.…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

“…Many studies investigating the acceptibility of percutaneous endoscopic nutrition by parents have been conducted (21)(22)(23). While the majority of parents resisted to placement of PEG initially, most of them were satisfied with the outcome (21).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopic gastrostomy in children: a single center experience

Koca¹,

Sivrice²,

Dereci³

et al. 2015

Turk Pediatri Ars

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“…2 As complicações da PEG são relativamente frequentes, podendo atingir taxas de 8-30%; em séries com seguimento longo, a taxa de complicações pode mesmo chegar aos 73%. 2,20,21 As complicações major (peritonite, hemorragia, lesão visceral) são, contudo, excecionais mas não desprezíveis. [20][21][22][23][24][25] A incidência de infeção local do ostoma pode ser significativamente diminuída pela antibioprofilaxia.…”

Section: Gastrostomiasunclassified

Vias para Nutrição Artificial na Criança (I): Acessos Entéricos

Estevão‐Costa

2014

Acta Med Port

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RESUMOO aporte nutricional adequado é crucial na abordagem terapêutica de múltiplos estados mórbidos, o que justifica o recurso frequente e crescente a vias de acesso específicas para nutrição entérica e parentérica. No presente artigo é realizada uma revisão da literatura relevante acerca de indicações, modalidades, eficácia e complicações das vias de acesso entérico na criança. Os fatores a considerar na decisão entre acesso gástrico e acesso pós-pilórico, e entre colocação de sonda nasogástrica e gastrostomia são criteriosamente discutidos. Perante indicação para acesso gástrico de longa duração, a gastrostomia endoscópica percutânea é a técnica mais utilizada dada a sua eficácia e segurança, embora a morbilidade associada não seja desprezível; a colocação de gastrostomia laparoscópica emerge como uma alternativa potencialmente vantajosa. Palavras-chave: Criança; Nutrição Entérica; Intubação Gastrointestinal; Gastrostomia; Jejunostomia; Laparoscopia. ABSTRACTAppropriate nutritional support is crucial in the therapeutic approach of multiple conditions, which justifies the frequent and increasing use of specific access routes for enteral and parenteral nutrition. This article reviews the relevant literature concerning indications, procedures, effectiveness and complications of enteral access routes in children. The decision between gastric and postpyloric access, and between nasogastric tube and gastrostomy is thoroughly discussed. Percutaneous endoscopic gastrostomy is the most commonly used technique when a long-term gastric access is required, given its efficacy and safety although the associated morbidity is not negligible; laparoscopic gastrostomy emerges as a potentially advantageous alternative.

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“…The procedure takes place either in the endoscopic or operating room, sometimes in the Intensive Care Unit. The most common indications include sucking, chewing and swallowing disturbances in children with neurological disorders such as cerebral palsy, hypoxic-ischaemic encephalopathy, and spinal muscular atrophy [3].…”

Section: Introductionmentioning

confidence: 99%