Percutaneous endoscopic gastrostomy (PEG) in children is not a minor procedure: risk factors for major complications

Seminars in Pediatric Surgery
Dirk VervloessemKlaas N M A Bax

Abstract

Percutaneous endoscopic gastrostomy (PEG) provides for enteral nutrition in children with feeding problems. PEG, however, is not without complications. The present study has a twofold aim: (1) comparing our incidence of major complications after PEG with the incidence in other centers, and (2) identifying risk factors for major complications. All patients receiving a PEG or laparoscopic-assisted PEG (lap PEG) in the period 1992-2008 were reviewed. Primary outcome was the occurrence of major complications, defined as the need for surgery, non-prophylactic antibiotics, or blood transfusion, and procedure-related death. Potential risk factors, eg, age under 1 year, mental retardation, scoliosis, constipation, hepatomegaly, upper abdominal surgery, ventriculoperitoneal shunt, peritoneal dialysis, esophageal stenosis, and coagulopathy, were analyzed. Of the 467 patients (448 PEG, 19 lap PEG), 12.6% developed major complications. The complication rate significantly decreased (P = 0.003) over the years. A significantly higher complication rate of 32% (P = 0.02) occurred in children with a ventriculoperitoneal shunt. None of the lap PEG procedures was associated with a major complication, but the difference was not significant, perhaps...Continue Reading

References

Mar 1, 1991·Journal of Pediatric Surgery·M W Gauderer
Mar 1, 1989·World Journal of Surgery·J L Ponsky, M W Gauderer
Jul 1, 1984·Annals of Surgery·T A StellatoJ L Ponsky
Dec 1, 1980·Journal of Pediatric Surgery·M W GaudererR J Izant
May 1, 1995·Journal of Pediatric Surgery·S W BeasleyP M Davidson
Feb 24, 1998·Journal of Pediatric Surgery·I U KhattakL Spitz
Mar 28, 1998·The American Journal of Gastroenterology·T L McCarterY K Chen
May 10, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Y KinoshitaH Akiyama
Nov 30, 2000·The American Journal of Gastroenterology·V K Sharma, C W Howden
May 15, 2001·The British Journal of Surgery·A L TaylorG O'Reilly
Jun 9, 2001·Endoscopy·L Wilson, M Oliva-Hemker
Jun 12, 2002·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Michael W L Gauderer
Oct 25, 2003·Journal of Pediatric Surgery·F SaituaP Herrera
Mar 27, 2004·Gastrointestinal Endoscopy·Robert Baird, Robert Salasidis
Oct 15, 2005·JPEN. Journal of Parenteral and Enteral Nutrition·Alison Saalwachter Schulman, Robert G Sawyer
Nov 30, 2006·Journal of Pediatric Gastroenterology and Nutrition·Tone Lise AvitslandKristin Bjørnland

❮ Previous
Next ❯

Citations

Apr 6, 2012·Pediatric Surgery International·Ruth Clare WraggGirish Jawaheer
May 2, 2013·Pediatric Surgery International·Ruiwen LiuU Krishnan
Dec 2, 2009·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Lesley Rees, Mary L Brandt
Oct 9, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rainer KubiakHugh W Grant
Jan 2, 2016·Pediatric Surgery International·Jennifer L CarpenterDavid E Wesson
Dec 22, 2015·Pediatric Surgery International·Jason P SulkowskiBrian Kenney
Jun 1, 2013·Pediatrics and Neonatology·Fu-Yu WuYen-Hsuan Ni
May 1, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Francesco Fascetti-LeonPietro Betalli
Jul 14, 2010·Journal of Pediatric Surgery·Shireen A NahAgostino Pierro
Nov 20, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yury KozlovKonstantin A Kovalkov
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Maireade E McSweeney, C Jason Smithers
Apr 15, 2015·The Journal of Pediatrics·Maireade E McSweeneyJenifer R Lightdale
Mar 19, 2015·Journal of Pediatric Surgery·Laura BakerRobert Baird
Apr 17, 2014·Archives of Disease in Childhood·Stephen D AdamsMichael P Stanton
Jun 28, 2011·Gastrointestinal Endoscopy·Rajeev JainJason A Dominitz
Jun 15, 2010·Gastrointestinal Endoscopy·Richard S KwonWilliam M Tierney
Feb 6, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Margrét Brands ViktorsdóttirLuther Sigurdsson
Jun 17, 2016·Journal of Pediatric Surgery·Morgan K RichardsAdam B Goldin
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
May 6, 2014·Journal of Pediatric Gastroenterology and Nutrition·Kamlesh PatelDakshesh Parikh
Apr 13, 2017·Pediatric Gastroenterology, Hepatology & Nutrition·Jiyoung KimSeung Kim
Sep 6, 2015·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Sarah Vermilyea, Vi Lier Goh
Dec 18, 2013·British Journal of Nursing : BJN·Hazel RollinsDenise Morrison
Jan 10, 2018·Clinical Endoscopy·Francesco MacchiniErnesto Leva
Feb 6, 2018·Journal of Pediatric Gastroenterology and Nutrition·Kelly DriverMichael Wilsey
Mar 2, 2011·Korean journal of pediatrics·Jye Hae ParkSu Jin Jeong
Jan 15, 2015·Pediatric Gastroenterology, Hepatology & Nutrition·Mi Hyeon Gang, Jae Young Kim
Aug 26, 2011·Journal of Pediatric Gastroenterology and Nutrition·Philip MinarSteven Werlin
May 21, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yury KozlovAlexander Razumovsky
Apr 9, 2014·Journal of Pediatric Gastroenterology and Nutrition·Arnaud LalanneLaurent Michaud
Oct 19, 2013·Journal of Pediatric Gastroenterology and Nutrition·David Fox, Joel A Friedlander
Oct 18, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Laura MerliLorenzo Nanni
Nov 2, 2013·Journal of Pediatric Gastroenterology and Nutrition·Maireade E McSweeneyJenifer R Lightdale
Feb 27, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Masahiro ZenitaniHiroomi Okuyama
Sep 26, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hector OseiGustavo A Villalona
Mar 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Hilde KromAngelika Kindermann
Nov 21, 2018·World Journal of Pediatrics : WJP·Brigitta BaloghAmulya Kumar Saxena
Feb 8, 2020·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Osama A Bawazir
Apr 20, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Thanapoom BoonipatJohn A Girotto
Jun 5, 2020·Children·Jose H SalazarKyle J Van Arendonk
Apr 25, 2015·Khirurgiia·Iu A KozlovN N Kuznetsova
Sep 25, 2017·The British Journal of Surgery·R R SinghUNKNOWN PEG-RIG trial collaborators
Aug 25, 2020·Journal of Pediatric Gastroenterology and Nutrition·Nina ChuaEdward M Giles
May 3, 2021·Journal of Pediatric Surgery·Claudia KohDavid J Wilkinson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.