Percutaneous endoscopic gastrostomy as a method of nutrition support in children with chronic kidney disease.
Chronic kidney disease (CKD) exerts a significant impact on children's growth and development. In infants and children with CKD, feeding-related problems are not infrequent, leading to protein-energy malnutrition and resulting in retarded physical development. Because spontaneous energy intake is usually inadequate in children with CKD, special dietary counseling with supportive procedures are often required. Placement of a percutaneous endoscopic gastrostomy (PEG) tube is one practical way to allow home tube feeding. Such nutrition support is valuable in children with CKD, and although it is not free from complications and technical problems, it seems to be helpful in providing required nutrition intake. In this report, the authors describe their own experience with PEG implantation and use in 3 children with CKD.
Department and Clinic of Pediatrics, Medical University of Silesia, 3 Maja 13/15 St, 41-800 Zabrze, Poland. adamczyk@konto.pl
Piotr
P
Adamczyk
Beata
B
Banaszak
Maria
M
Szczepańska
Aurelia
A
Morawiec-Knysak
Krystyna
K
Szprynger
Dariusz
D
Budziński
Jacek
J
Karpe
Katarzyna
K
Ziora
D002648:Child; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D002149:Energy Intake; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006130:Growth Disorders / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007441:Intubation, Gastrointestinal / Q000379:methods*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D009751:Nutritional Requirements; D011502:Protein-Energy Malnutrition / Q000209:etiology / Q000517:prevention & control*