Percutaneous endoscopic gastrostomy in paediatric practice: Complications and outcome

摘要: Abstract Purpose : The aim of this study was to establish the morbidity and mortality percutaneous endoscopic gastrostomy (PEG) in a tertiary referral paediatric practice identify risk factors for developing complications after PEG. Methods medical records all patients who had attempted over 5-year period (1990 1995) were reviewed. Results One hundred thirty gastrostomies placed 120 patients. Indications insertion inability swallow (n = 74, which, 52 neurologically impaired), inadequate calorie intake 30), special feeding requirements 12), continuous enteral short gut 2), malabsorption 2). All children complex problems, 80% rated as "high risk' general anaesthesia (≥ASA grade 3). Major developed 21 (17.5%) minor 27 (22.5%). Of 17 whom gastroesophageal reflux (GOR) became symptomatic, 10 required Nissen fundoplication. Nine these impaired (19% children). postrenal transplant patient on immunosuppression died 54 days procedure intraabdominal sepsis. Thirty-one secondary surgical procedures. Conclusions PEG is associated with significant morbidity. Neurologically are at acquiring symptomatic GOR, but does not warrant routine common need urgent consultation many requiring should be considered major undertaking.