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Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis

Background and Objectives: When the human body is disabled to naturally ingest food through the mouth, enteral or parenteral nutritional support should be started. Percutaneous gastrostomy (PEG) is a flexible feeding tube that is inserted into the stomach through the abdominal wall in patients who w...

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Autores principales: Jeličić Kadić, Antonia, Radošević, Tea, Žitko, Vanda, Despot, Ranka, Pogorelić, Zenon, Llorente Muñoz, Carlos Martin, Runjić, Edita, Kovačević, Tanja, Ćatipović Ardalić, Tatjana, Polić, Branka, Markić, Joško
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622246/
https://www.ncbi.nlm.nih.gov/pubmed/34833454
http://dx.doi.org/10.3390/medicina57111236
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author Jeličić Kadić, Antonia
Radošević, Tea
Žitko, Vanda
Despot, Ranka
Pogorelić, Zenon
Llorente Muñoz, Carlos Martin
Runjić, Edita
Kovačević, Tanja
Ćatipović Ardalić, Tatjana
Polić, Branka
Markić, Joško
author_facet Jeličić Kadić, Antonia
Radošević, Tea
Žitko, Vanda
Despot, Ranka
Pogorelić, Zenon
Llorente Muñoz, Carlos Martin
Runjić, Edita
Kovačević, Tanja
Ćatipović Ardalić, Tatjana
Polić, Branka
Markić, Joško
author_sort Jeličić Kadić, Antonia
collection PubMed
description Background and Objectives: When the human body is disabled to naturally ingest food through the mouth, enteral or parenteral nutritional support should be started. Percutaneous gastrostomy (PEG) is a flexible feeding tube that is inserted into the stomach through the abdominal wall in patients who will need long-term enteral nutrient intake. The aim of this study is to analyze clinical characteristic of children at the time of PEG placement as well as to determine indications, complications and outcomes associated with PEG at the Department of Pediatrics of the University Hospital of Split. Materials and Methods: Retrospective analysis of the medical records of patients treated from 2010 to 2020 was performed. The following data were collected from medical records: age, gender, information about nasogastric feeding before PEG placement, indication for PEG insertion, duration of PEG, procedure-related complications and treatment outcomes. Malnutrition was determined according to the z-score range for BMI for age and sex. According to the indication for PEG placement, patients were divided into five categories: central nervous system (CNS) diseases, neuromuscular diseases, genetic disorders, metabolic diseases, and group of children with polytrauma. Results: A total of 40 patients with median age of 110 months were included in study. At the time of PEG placement, most patients had deviations in body weight and height compared to expected values for age and sex. The most common underlying diagnoses were diseases of the central nervous system. Minor complications were found in 13 (35%) of patients. One patient (2.7%) developed major complication (gastrocolic fistula) and consequently underwent reoperation. The median duration of PEG in patients with complications before the need for replacement was 27 months, and in patients without complications, 43 months. Conclusions: Negative deviations of z-score body weight, body height, and body mass index could indicate the need for possible earlier placement of PEG. PEG can be considered as a safe therapeutic option in children since PEG-related complications, mostly in minor forms, were found in a small number of patients.
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spelling pubmed-86222462021-11-27 Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis Jeličić Kadić, Antonia Radošević, Tea Žitko, Vanda Despot, Ranka Pogorelić, Zenon Llorente Muñoz, Carlos Martin Runjić, Edita Kovačević, Tanja Ćatipović Ardalić, Tatjana Polić, Branka Markić, Joško Medicina (Kaunas) Article Background and Objectives: When the human body is disabled to naturally ingest food through the mouth, enteral or parenteral nutritional support should be started. Percutaneous gastrostomy (PEG) is a flexible feeding tube that is inserted into the stomach through the abdominal wall in patients who will need long-term enteral nutrient intake. The aim of this study is to analyze clinical characteristic of children at the time of PEG placement as well as to determine indications, complications and outcomes associated with PEG at the Department of Pediatrics of the University Hospital of Split. Materials and Methods: Retrospective analysis of the medical records of patients treated from 2010 to 2020 was performed. The following data were collected from medical records: age, gender, information about nasogastric feeding before PEG placement, indication for PEG insertion, duration of PEG, procedure-related complications and treatment outcomes. Malnutrition was determined according to the z-score range for BMI for age and sex. According to the indication for PEG placement, patients were divided into five categories: central nervous system (CNS) diseases, neuromuscular diseases, genetic disorders, metabolic diseases, and group of children with polytrauma. Results: A total of 40 patients with median age of 110 months were included in study. At the time of PEG placement, most patients had deviations in body weight and height compared to expected values for age and sex. The most common underlying diagnoses were diseases of the central nervous system. Minor complications were found in 13 (35%) of patients. One patient (2.7%) developed major complication (gastrocolic fistula) and consequently underwent reoperation. The median duration of PEG in patients with complications before the need for replacement was 27 months, and in patients without complications, 43 months. Conclusions: Negative deviations of z-score body weight, body height, and body mass index could indicate the need for possible earlier placement of PEG. PEG can be considered as a safe therapeutic option in children since PEG-related complications, mostly in minor forms, were found in a small number of patients. MDPI 2021-11-12 /pmc/articles/PMC8622246/ /pubmed/34833454 http://dx.doi.org/10.3390/medicina57111236 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jeličić Kadić, Antonia
Radošević, Tea
Žitko, Vanda
Despot, Ranka
Pogorelić, Zenon
Llorente Muñoz, Carlos Martin
Runjić, Edita
Kovačević, Tanja
Ćatipović Ardalić, Tatjana
Polić, Branka
Markić, Joško
Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis
title Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis
title_full Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis
title_fullStr Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis
title_full_unstemmed Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis
title_short Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis
title_sort percutaneous endoscopic gastrostomy tubes can be considered safe in children: a single-center 11-year retrospective analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622246/
https://www.ncbi.nlm.nih.gov/pubmed/34833454
http://dx.doi.org/10.3390/medicina57111236
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