Percutaneous Endoscopic Gastrostomy in Pediatric Patients

摘要: Adequate nutrition is important in the management of children with chronic illnesses. Patients who are unwilling or unable to eat will starve. Starvation depletes tissue stores, and ultimately leads impaired organ function structure. Appropriate caloric intake enables growth, promotes repair, improve immune function. Access intestinal tract may be via a nasal tube by percutaneous route, delivery stomach jejunum. Nasogastric tubes employed for shortterm feeding, usually up four weeks. In requiring long term nasogastric feeding uncomfortable, disfiguring often traumatic. Percutaneous access either endoscopic radiological techniques. gastrostomy basically sutureless approximation abdominal wall. The (PEG) becomes most popular technique nowadays. first PEG was performed pediatric operating room University Hospitals Cleveland on June 12, 1979 four-and-half-month-old child inadequate oral intake. procedure under sedation local anesthesia. did remarkably well. However, because initial used 12F catheter small mushroom head, external migration ensued after 3 changed direct visualization, using laparotomy (Gauderer, 2002). Since then has been adopted worldwide both adults. Because considered minimally invasive, rapid, associated low risk complications, short hospital stay, it become preferred method delivering nutritional support vulnerable patients. benefits not only include successful rehabilitation, but also accelerated growth (Craig et al., 2006, Sullivan 2005) enhanced carer satisfaction (Avitsland 2006) quality life (Sullivan 2004).