title: [Favorable results of percutaneous endoscopic gastrostomy in children in need of long-term tube feeding].
abstract: OBJECTIVE
  Analysis of indications, weight and peroperative and postoperative complications in 32 consecutive children who underwent percutaneous endoscopic gastrostomy (PEG).
  
  
  METHODS
  Retrospective.
  
  
  METHODS
  Sophia Children's Hospital, Rotterdam, The Netherlands.
  
  
  METHODS
  Survey of medical records.
  
  
  RESULTS
  In 26 children the indication for PEG was necessity of prolonged tube feeding on account of severe psychomotor retardation. The 6 others had no such retardation and had various indications. Mean hospital stay was 6.7 days, median 6 days. Three patients had immediate postoperative complications: two had leakage, one infection. In 22 patients there were no late complications. One patients died following status epilepticus. One patient had a late peritonitis, and two others gastroesophageal reflux severe enough to require surgical intervention. Six patients had mild long-term complications, mainly infectious. All children showed improvement of weight for length.
  
  
  CONCLUSIONS
  The PEG procedure is well-tolerated, effective way of tube feeding in children, with a relatively low complication rate.
authors.affiliation: Academish Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, Afd. Kinderheelkunde.
authors.forename: J H
authors.initials: JH
authors.lastname: Bergmeijer
authors.forename: M C
authors.initials: MC
authors.lastname: Postuma
authors.forename: G C
authors.initials: GC
authors.lastname: Madern
authors.forename: J
authors.initials: J
authors.lastname: Bouquet
mesh_terms: D000293:Adolescent; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D016099:Endoscopy, Gastrointestinal; D004750:Enteral Nutrition / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000503:physiopathology*; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies
vernacular_title: Gunstige resultaten van percutane endoscopische gastrostomie bij kinderen die langdurig sondevoeding nodig hebben.