Percutaneous endoscopic gastrostomy is widely used for establishing enteral feeding.
Dr Tone Lise Avitsland and colleagues assessed immediate and long-term results after percutaneous endoscopic gastrostomy insertion.
The research team retrospectively reviewed a total of 121 children.
Median age was 2 years at the time of percutaneous endoscopic gastrostomy insertion.
Patient morbidity, and indications for percutaneous endoscopic gastrostomy were measured.
In addition, the team retrospectively registered preoperative findings and perioperative complications.
|Vomiting/retching improved in 61% of the children |
|Journal of Pediatric Gastroenterology & Nutrition|
Parents/caregivers of 85 children were interviewed for long-term results.
The researchers observed perioperative complications in 12%.
The team noted that 24% died at a median of 15 months after percutaneous endoscopic gastrostomy.
The researchers interviewed 85 families with a median follow-up time of 6 years.
A substantial majority of parents/caregivers reported that the percutaneous endoscopic gastrostomy had a positive influence on their child's situation.
The researchers reported that 98% would have chosen percutaneous endoscopic gastrostomy insertion again.
Vomiting/retching improved in 61% of the children, and oral intake enhanced in 43%.
Stoma-related complications were frequent, occurring in 73%.
The researchers found that the gastrostomy tube was permanently removed at a median of 3 years after percutaneous endoscopic gastrostomy placement in 25%.
Delayed closure of the gastrocutaneous fistula after gastrostomy removal occurred in 48% of the patients.
The research team observed that time from insertion to removal was not predictive of delayed closure.
Dr Avitsland's team concludes, “Percutaneous endoscopic gastrostomy is a safe technique for establishing enteral feeding, even in very sick children.”
“Major complications are rare, although most children experience minor stoma-related problems.”
“ Parents and caregivers report that the gastrostomy is of great help for themselves and their child.”