Attention to small details: big deal for gastrostomies.
Gastrostomy tubes are used in the pediatric population when long-term enteral feeding is needed. A common method of placement is percutaneously with endoscopy (PEG, percutaneous endoscopic gastrostomy). Although PEG placement is a straightforward procedure most of the time, it can be associated with a significant rate of minor complications and a smaller but significantly important rate of major complications. Some of these complications may also occur after any type of gastrostomy. We will present representative case studies outlining major complications and discuss how we may be able to prevent them at the time of PEG insertion or during PEG to low-profile button gastrostomy exchange. The proposed guidelines apply to all types of gastrostomies.
Beres
Alana
A
Division of Pediatric General Surgery, Montreal Children's Hospital of the McGill University Health Center, Montreal, Quebec, Canada.
Bratu
Ioana
I
Laberge
Jean-Martin
JM
D000293:Adolescent; D002648:Child; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery; D017577:Cutaneous Fistula / Q000209:etiology; D013505:Digestive System Surgical Procedures; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D005747:Gastric Fistula / Q000209:etiology* / Q000601:surgery; D005774:Gastrostomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome