Outcomes of percutaneous endoscopic gastrostomy in children

John E. Fortunato, Carmen Cuffari

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and minimally invasive surgical method for providing enteral access in children. In pediatrics, the indications for PEG placement frequently include malnutrition or failure to thrive, as well as oropharyngeal dysphagia, especially in children with neurological impairment (NI). The risk for postoperative complications is low. However, among children with NI, gastroesophageal reflux disease (GERD) may necessitate fundoplication prior to gastrostomy tube placement. Preoperative pH probe testing has not been shown to be an effective screening tool prior to PEG placement among patients with GERD. Laparoscopic gastrostomy tube insertion was introduced in pediatric patients in an attempt to decrease complications associated with PEG. Although outcomes were reported to be similar to or better than PEG alone, future comparative studies are needed to better define the optimal patient demographic for this technique.

Original languageEnglish (US)
Pages (from-to)293-299
Number of pages7
JournalCurrent Gastroenterology Reports
Volume13
Issue number3
DOIs
StatePublished - Jun 1 2011

Keywords

  • Children
  • Outcomes
  • Percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

  • Gastroenterology

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