Review article: percutaneous endoscopic gastrostomy in infants and children

Alimentary Pharmacology & Therapeutics
T FröhlichH Köhler

Abstract

Percutaneous endoscopic gastrostomy (PEG) placement is widely accepted in children needing long-term gastrostomy feeding and clinical experience has been accumulated using PEG in children for nearly three decades. To discuss the current knowledge about clinical application of percutaneous endoscopic gastrostomy in children as well as associated complications and special aspects. We reviewed literature on PEG, primarily in children, with a focus on complications, gastro-oesophageal reflux, potential benefits and parental perceptions. In addition to reviewing scientific literature, we considered clinical experience and judgment in developing recommendations for special aspects concerning PEG in children. Since its introduction in 1980, the use of PEG in paediatric patients has become widely accepted. With expanded experience, the number of medical conditions for which PEG is indicated, as well as the use of new techniques has increased. Published reports have helped improve expertise in dealing with associated complications; however, several key issues remain unresolved such as the implications of gastro-oesophageal reflux associated with PEG placement. Percutaneous endoscopic gastrostomy insertion for enteral nutrition in childr...Continue Reading

Citations

Jul 28, 2013·European Journal of Medical Research·Michael Friedt, Simon Welsch
Mar 20, 2012·European Journal of Pediatrics·M MassaroE Barbi
Oct 1, 2011·Clinical Journal of Gastroenterology·Satoru TakayamaHiromitsu Takeyama
Mar 29, 2014·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Jiwon Lee, Regena Spratling
Jul 23, 2020·Developmental Medicine and Child Neurology·Ellen Backman, Lotta Sjögreen
Apr 17, 2014·Archives of Disease in Childhood·Stephen D AdamsMichael P Stanton
Jan 22, 2021·Molecular Genetics and Metabolism Reports·Claire-Marine BératPascale de Lonlay Pascale

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