[Favorable results of percutaneous endoscopic gastrostomy in children in need of long-term tube feeding].
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.
Bergmeijer
J H
JH
Academish Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, Afd. Kinderheelkunde.
Postuma
M C
MC
Madern
G C
GC
Bouquet
J
J
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
Gunstige resultaten van percutane endoscopische gastrostomie bij kinderen die langdurig sondevoeding nodig hebben.