PMID: 11698769Nov 8, 2001Paper

Percutaneous endoscopic gastrostomy and gastrojejunostomy in psychomotor retarded subjects: a follow-up covering 106 patient years

Journal of Pediatric Gastroenterology and Nutrition
E M Mathus-VliegenC G Moorman-Voestermans

Abstract

Whether psychomotor retarded persons should be treated by percutaneous endoscopic gastrostomy (PEG) or by surgical gastrostomy combined with an antireflux procedure is controversial. Therefore, the authors investigated the feasibility of a PEG and enteral feeding in these patients. Patients referred from specialized institutions for a PEG placement were assessed extensively by a multidisciplinary team. When considered eligible, age and general condition determined the choice of treatment under general anesthesia (group 1) or conscious sedation (group 2). Patients were followed up after 1 and 7 days, 4 and 12 weeks, and thereafter every 6 to 12 weeks. Data were collected prospectively over a period of 5 years until gastrostomy removal, death, or arrival at the censory date, 6 months after PEG placement. The endpoints were 1) to evaluate the procedure and its complications; 2) to discover barriers that impeded adequate nutrition; and 3) to explore the appropriateness of the choice of PEG or percutaneous endoscopic gastrojejunostomy (PEJ). The procedure was successful in 95% of patients, in every patient in group 1 (35/35; median age, 4.1 years) and in 20 of 23 patients (87%) in group 2 (median age, 22.0 years). There were no proc...Continue Reading

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Citations

Mar 17, 2011·Current Gastroenterology Reports·John E Fortunato, Carmen Cuffari
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Heather B Neuman, J Duncan Phillips
May 2, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Girolamo MattioliVincenzo Jasonni
Jul 27, 2002·Journal of Pediatric Gastroenterology and Nutrition·F Gottrand, L Michaud
Mar 16, 2007·Gerontology·Toshiro KitamuraHidehiko Iizuka
Jul 27, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·L Michaud
Jun 6, 2009·Intellectual and Developmental Disabilities·Allen G Sandler
Dec 13, 2006·Journal of Pediatric Surgery·Hisayoshi KawaharaAkira Okada
Aug 1, 2015·The Journal of Surgical Research·Insiyah CampwalaGerald Gollin
Sep 23, 2014·Pediatrics International : Official Journal of the Japan Pediatric Society·Guido EngelmannUlrike Teufel
Jun 20, 2006·Best Practice & Research. Clinical Gastroenterology·James A DiSario
Jul 26, 2015·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Ariane DavoutPascal Crenn
Jan 27, 2011·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Wael El-Matary
Jan 19, 2005·The American Journal of Gastroenterology·John E FortunatoCarmen Cuffari
Jul 5, 2006·The American Journal of Gastroenterology·Hymie Kavin, Richard Messersmith
Nov 30, 2006·Journal of Pediatric Gastroenterology and Nutrition·Tone Lise AvitslandKristin Bjørnland
Apr 12, 2003·British Journal of Community Nursing·Jamil Khair
May 21, 2019·Journal of Pediatric Gastroenterology and Nutrition·Joseph S DeRaddoKatsuhiro Kobayashi
Mar 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Hilde KromAngelika Kindermann
Aug 15, 2018·Pediatric Surgery International·Giuseppe LauritiAgostino Pierro
Jul 4, 2021·Emergency Medicine Clinics of North America·Alamelu Natesan, Solomon Behar

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