[Surgical and nutritional evaluation of children with percutaneous endoscopic gastrostomy].
BACKGROUND
Percutaneous endoscopic gastrostomy (PEG) has suppoused an improvement in the nutritional management of patients with deglution difficulty. Surgical and nutritional aspects have been evaluated in our patients with PEG.


METHODS
A descriptive retrospective study with individual analysis of surgical, nutritional and satisfaction items has been developed.


RESULTS
83 PEG (1994-08) have been implanted in neurological patients (63.8%) followed by cystic fibrosis; Mean age 7 years (4 months-25 years). Two patients have a ventriculo-peritoneal shunt (VPS) and 3 a peritoneal dialysis catheter (PDC). 12% had a mild complication and 3 patients a severe one, with 2 reinterventions performed. 40 patients have the dispositive, 25 were removed after a mean follow-up of 2,5 years and 17 patients dies. Nutrition was done with initial, continuation or specials formulas. Weight evaluation was satisfactory in 96% of patients and biochemical indicators were normalized in 97% of them. Satisfaction is very high among the majority of parents.


CONCLUSIONS
PEG is a technique that allows nutritional recuperation with few surgical complications. VPS and PDC are not contraindications for the percutaneous gastrostomy. PEG improves children and relatives life quality.
Limousin
I Tuduri
IT
Servicio de Cirugía Pediátrica, Hospital Infantil Virgen del Rocío, Sevilla. tuduri@yahoo.com
Velilla
A Gracia
AG
Caro
J González
JG
Azcárate
J Morcillo
JM
Asensio
J C De Agustín
JC
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D009752:Nutritional Status; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult