Long-term outcomes of infants and children undergoing percutaneous endoscopy gastrostomy tube placement

Journal of Pediatric Gastroenterology and Nutrition
Maireade E McSweeneyJenifer R Lightdale

Abstract

Little is known about long-term outcomes of patients undergoing percutaneous endoscopic gastrostomy (PEG) placement. The purpose of this study was to examine tube-related major complications in pediatric patients undergoing PEG placement during a 10-year follow-up period. A retrospective chart review of patients undergoing PEG placement from April 1999 through December 2000 at Boston Children's Hospital was performed. Cumulative incident rates of major complications (defined by additional hospitalization, surgical or interventional radiology procedures) as well as time between PEG placement and major complications were evaluated using Kaplan-Meier survival analysis. Time to elective tube removal and patient mortality was also assessed. One hundred thirty-eight patients (59% [n = 82] boys [median age 22.5 months] [interquartile range, IQR 9-72.5], weight 9.2 kg [IQR 6.1-15.8]), underwent PEG placement during the study period and were followed at our hospital for a median of 4.98 years (IQR 1.5-8.7) years. Median time to elective tube removal was 10.2 years, with approximately half of the patients estimated to still have an indwelling enteral tube 10 years after placement. Fifteen patients (11%) had at least 1 major complication ...Continue Reading

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Citations

Dec 19, 2015·Scandinavian Journal of Gastroenterology·Morten KvelloKristin Bjørnland
Aug 27, 2015·Academic Pediatrics·Anne M SteyCharles D Vinocur
Dec 22, 2015·The Journal of Pediatrics·Maireade E McSweeneyRachel Rosen
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Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Maireade E McSweeney, C Jason Smithers
Sep 23, 2014·Pediatrics International : Official Journal of the Japan Pediatric Society·Guido EngelmannUlrike Teufel
Apr 15, 2015·The Journal of Pediatrics·Maireade E McSweeneyJenifer R Lightdale
Jun 9, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mikael PetrosyanTimothy D Kane
Sep 30, 2016·Journal of Pediatric Surgery·Rachel M LandischJohn C Densmore
Dec 10, 2015·Journal of Pediatric Gastroenterology and Nutrition·Christine ThomasSanjeev Khurana
Apr 13, 2017·Pediatric Gastroenterology, Hepatology & Nutrition·June KimSun Jun Kim
Jul 21, 2017·JPEN. Journal of Parenteral and Enteral Nutrition·Terence Michael DoveyCaroline Meyer
Dec 21, 2017·Journal of Pediatric Gastroenterology and Nutrition·Maireade E McSweeneyRachel Rosen
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Oct 19, 2013·Journal of Pediatric Gastroenterology and Nutrition·David Fox, Joel A Friedlander
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Nov 21, 2018·World Journal of Pediatrics : WJP·Brigitta BaloghAmulya Kumar Saxena
Jan 22, 2019·Journal of Pediatric Gastroenterology and Nutrition·Jenifer R LightdaleUNKNOWN NASPGHAN Endoscopy and Procedures Committee
Feb 8, 2020·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Osama A Bawazir
Sep 21, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Syed Tariq KhalilT Hang Nghiem-Rao
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Jun 23, 2021·Journal of Pediatric Gastroenterology and Nutrition·Matjaž HomanJorge Amil-Dias

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