Percutaneous endoscopic gastrostomy in children: a population-based study from iceland, 1999-2010.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationJ Laparoendosc Adv Surg Tech A 2015, 25 (3):248-51
AbstractThe aim of this study was to review the indications and the results of percutaneous endoscopic gastrostomy (PEG) procedures in Icelandic children.
A retrospective review of all pediatric PEG procedures performed in Iceland in 1999-2010 was conducted. Diagnosis, demographics, complications, and body mass index were recorded.
Ninety-eight children (51 girls) were included. Median age was 2 years (range, 1 month-17 years). The most common diagnosis was neurological disease (56%). Median length of stay was 4 days (range, 1-189 days). Extended length of stay was not related to PEG. Before surgery, median body mass index (BMI) was 14.5 kg/m(2) (range, 9.8-20.8 kg/m(2)), and the median BMI-for-age z-score was -1.4 (range, -5.9 to 3.0). One year after surgery, median BMI was 15.3 kg/m(2) (range, 11.2-22.1 kg/m(2)), and median BMI-for-age z-score was -0.5 (range, -5.1 to 3.8). The median weight increased significantly in 1 year by 1.0 standard deviation (P<.0001; 95% confidence interval, -1.4820 to -0.7387). One hundred sixty-six complications were recorded in 65 children; 96% were minor, with the most common being granuloma formation (19%) and superficial skin infection (25%). The rate of infection was not statistically different between those who received preoperative antibiotics versus no antibiotics (P=.296). Major complications were peritonitis (n=3), esophageal tear (n=1), buried bumper (n=1), and malposition of the gastrostomy tube (n=1). Median follow-up was 47 months (range, 1-152 months). Fourteen children died (at 1 month to 3 years), but no deaths were related to PEG insertion. Twenty-seven children were without gastrostomy at follow-up. Twelve children (14%) underwent fundoplication later; 11 of them were neurologically impaired.
PEG is a safe technique with a high complication rate, but the majority of complications are minor and easily treatable. Gastrostomy is sometimes temporary. Enteral feeding results in significant weight gain in 1 year.
DescriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the page
RightsArchived with thanks to Journal of laparoendoscopic & advanced surgical techniques. Part A
- Outcome after percutaneous endoscopic gastrostomy in children and young adults.
- Authors: Fortunato JE, Troy AL, Cuffari C, Davis JE, Loza MJ, Oliva-Hemker M, Schwarz KB
- Issue date: 2010 Apr
- [Percutaneous endoscopic gastrostomy: analysis of practice at the endoscopic center of tertiary medical care].
- Authors: Balihar K, Janská E, Zdrhová L, Kotyza J, Hejda V, Koželuhová J
- Issue date: Summer 2016
- Evaluating complication rates and outcomes among infants less than 5kg undergoing traditional percutaneous endoscopic gastrostomy insertion: A retrospective chart review.
- Authors: Fernandes AR, Elliott T, McInnis C, Easterbrook B, Walton JM
- Issue date: 2018 May
- [One-step low profile percutaneous endoscopic gastrostomy: our experience in children].
- Authors: Moreno Montero A, Barceló Cañellas C, Bregante Ucedo JI, García Baglietto A, Marhuenda Irastorza C
- Issue date: 2014 Oct
- [Percutaneous endoscopic gastrostomy in Iceland over 10 year period: a retrospective study of indications, complications and ethical issues].
- Authors: Birgisson S
- Issue date: 2012 Feb