title: Safety techniques for percutaneous endoscopic gastrostomy tube placement in Pierre Robin Sequence.
abstract: Pierre Robin Sequence (PRS) is a craniofacial anomaly characterized by a triad of micrognathia, glossoptosis, and cleft palate. Infants with PRS frequently have feeding problems that may require supplemental nutrition through a nasogastric or gastrostomy tube. Very few published studies have illustrated the most appropriate method for securing an enteral feeding route in this patient population. One case report described a major complication leading to death from airway compromise following percutaneous endoscopic gastrostomy (PEG) tube placement. The authors describe a case of an infant with PRS who underwent successful PEG tube placement without complications, and they highlight certain techniques to improve procedure success and patient safety.
authors.affiliation: Department of Pediatrics, Division of Pediatric Gastroenterology, University of Iowa, Iowa City 52241, USA.
authors.forename: Dina
authors.initials: D
authors.lastname: Al-Zubeidi
authors.forename: Riad M
authors.initials: RM
authors.lastname: Rahhal
mesh_terms: D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000379:methods*; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods*; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007223:Infant; D007441:Intubation, Gastrointestinal / Q000009:adverse effects / Q000379:methods*; D008297:Male; D010855:Pierre Robin Syndrome / Q000628:therapy*; D016896:Treatment Outcome