title: [Help to children and adolescents with malnutrition or eating disorders. Percutaneous endoscopic gastrostomy with button: simple, safe and cost-effective].
abstract: Percutaneous endoscopic gastrostomy (PEG) has gained great popularity for children with malnutrition and eating disorders secondary to chronic illness. However, the procedure is not without risks. We report on 62 infants and children, median age 4 years (1 month-20 years), who underwent PEG placement. Cerebral palsy with or without mental retardation was the most common diagnosis (50%). No complications related to the PEG procedure itself occurred, but postoperative pneumonia was seen in 10%. Late complications were few: intraperitoneal migration of the button in one child and prolapse of the stoma in another. At the time of button placement, after median 14 weeks, mean weight had increased from a standard deviation score of -2.7 to -2.2 (P < 0.001). We consider PEG to be a safe procedure for children with malnutrition requiring enteral feeding. Due to potential risks and complications related to this method, a multidisciplinary approach, as found in a "nutritional support team", is recommended.
authors.affiliation: Sektionen för pediatrisk gastroenterologi, hepatologi och nutrition, Huddinge sjukhus. thomas.casswall@klinvct.ki.se
authors.forename: T
authors.initials: T
authors.lastname: Casswall
authors.forename: B
authors.initials: B
authors.lastname: Bäckström
authors.forename: M
authors.initials: M
authors.lastname: Drapinski
authors.forename: L
authors.initials: L
authors.lastname: Henström
authors.forename: P
authors.initials: P
authors.lastname: Bolander
authors.forename: J
authors.initials: J
authors.lastname: Ejderhamn
authors.forename: A J
authors.initials: AJ
authors.lastname: Roth
authors.forename: A
authors.initials: A
authors.lastname: Thörne
authors.forename: K A
authors.initials: KA
authors.lastname: Dahlström
mesh_terms: D000293:Adolescent; D019072:Antibiotic Prophylaxis; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000379:methods*; D004750:Enteral Nutrition / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D001068:Feeding and Eating Disorders / Q000178:diet therapy / Q000601:surgery*; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D007431:Intraoperative Complications / Q000175:diagnosis / Q000503:physiopathology; D009748:Nutrition Disorders / Q000178:diet therapy / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology