Publication: Percutaneous endoscopic gastrostomy in pediatric patients: Experience of 201 cases in a tertiary-care hospital
Issued Date
2019-01-01
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01252208
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2-s2.0-85076684340
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.102, No.12 (2019), 130-134
Suggested Citation
C. Lertudomphonwanit, N. Butsriphum, W. Prabpram, R. Sumritsopak, P. Tanpowpong, S. Treepongkaruna Percutaneous endoscopic gastrostomy in pediatric patients: Experience of 201 cases in a tertiary-care hospital. Journal of the Medical Association of Thailand. Vol.102, No.12 (2019), 130-134. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/52007
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Title
Percutaneous endoscopic gastrostomy in pediatric patients: Experience of 201 cases in a tertiary-care hospital
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Abstract
© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND 2019 Background: Percutaneous endoscopic gastrostomy (PEG) has become a common technique for children who require long-term enteral feeding. The use of PEG can improve nutritional status of patients and widely accepted by caregivers. The present study revealed outcome of PEG in 201 children age <19 years performed by pediatric gastroenterologists in a tertiary-care hospital in Thailand. Materials and Methods: We retrospectively reviewed PEG registry of our division and medical records of pediatric patients (age <19 years) who underwent PEG at Division of Gastroenterology, Department of Pediatrics, Ramathibodi Hospital from January 2001 to December 2013. Results: Eighty-three percent of patients were neurologically impaired. The median weight was 9 kg (IQR 5.9 to 15.3) with a minimal weight of 2.9 kg; 50% were underweight (weight for age Z-score less than -2 standard deviation) at time of PEG. Overall, rate of early post-operative complications was 20%. Most of them were minor complications albeit 1.5% were major complications. There was no mortality. At 1-year follow-up, nutritional status improved significantly. Mean weight for age Z-score was -2.13+2.1 before PEG insertion and -1.38+1.9 at 1 year later (p = 0.0001). The proportion of underweight patients decreased from 45.3% to 39.7%. Median increased weight was 38.9% (IQR 19.5 to 65.9). Conclusion: PEG is a safe procedure for children, even in small infants, requiring long-term enteral feeding due to its favorable outcomes in terms of better nutritional status and the low rate of major complications.