scholarly journals Percutaneous Endoscopic Gastrostomy in Pediatric Patients

Gastrostomy ◽  
10.5772/21179 ◽  
2011 ◽  
Author(s):  
Omar I.
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Pediatric Patients ◽  
Endoscopic Gastrostomy

Mo1454 Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement in Pediatric Patients With Congenital Heart Disease

2012 ◽  
Vol 75 (4) ◽  
pp. AB430
Author(s):  
Maireade E. Mcsweeney ◽  
Amanda J. Deutsch ◽  
Melissa L. Atmadja ◽  
Ann N. Stumpf ◽  
Hongyu Jiang ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Congenital Heart ◽  
Pediatric Patients ◽  
Tube Placement ◽  
Endoscopic Gastrostomy ◽  
Peg Tube

scholarly journals Initial experience with percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients

2018 ◽  
Vol 06 (02) ◽  
pp. E179-E185 ◽  
Author(s):  
Morten Kvello ◽  
Charlotte Knatten ◽  
Gøri Perminow ◽  
Hans Skari ◽  
Anders Engebretsen ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Pediatric Patients ◽  
Operation Time ◽  
Retrospective Chart Review ◽  
Late Complications ◽  
High Rate ◽  
Local Antibiotics ◽  
Endoscopic Gastrostomy ◽  
Median Operation Time ◽  
Systemic Antibiotics

Abstract Background and study aims Insertion of a percutaneous endoscopic gastrostomy (PEG) with push-through technique and T-fastener fixation (PEG-T) has recently been introduced in pediatric patients. The T-fasteners allow a primary insertion of a balloon gastrostomy. Due to limited data on the results of this technique in children, we have investigated peri- and postoperative outcomes after implementation of PEG-T in our department. Patients and methods This retrospective chart review included all patients below 18 years who underwent PEG-T placement from 2010 to 2014. Main outcomes were 30-day postoperative complications and late gastrostomy-related complications. Results In total, 87 patients were included, and median follow-up time was 2.4 years (1 month – 4.9 years). Median age and weight at PEG-T insertion were 1.9 years (9.4 months – 16.4 years) and 10.4 kg (5.4 – 33.0 kg), respectively. Median operation time was 28 minutes (10 – 65 minutes), and 6 surgeons and 3 endoscopists performed the procedures. During the first 30 days, 54 complications occurred in 41 patients (47 %). Most common were peristomal infections treated with either local antibiotics in 11 patients (13 %) or systemic antibiotics in 11 other patients (13 %). 9 patients (10 %) experienced tube dislodgment. Late gastrostomy-related complications occurred in 33 patients (38 %). The T-fasteners caused early and late complications in 9 (10 %) and 11 patients (13 %), respectively. Of these, 4 patients (5 %) had subcutaneously migrated T-fasteners which were removed under general anesthesia. Conclusion We found a high rate of complications after PEG-T. In particular, problems with the T-fasteners and tube dislodgment occurred frequently after PEG-T insertion.

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