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Analysis of indications, weight and peroperative and postoperative complications in 32 consecutive children who underwent percutaneous endoscopic gastrostomy (PEG).Retrospective.Sophia Children's Hospital, Rotterdam, The Netherlands.Survey of medical records.In 26 children the indication for PEG was necessity of prolonged tube feeding on account of severe psychomotor retardation. The 6 others had no such retardation and had various indications. Mean hospital stay was 6.7 days, median 6 days. Three patients had immediate postoperative complications: two had leakage, one infection. In 22 patients there were no late complications. One patients died following status epilepticus. One patient had a late peritonitis, and two others gastroesophageal reflux severe enough to require surgical intervention. Six patients had mild long-term complications, mainly infectious. All children showed improvement of weight for length.The PEG procedure is well-tolerated, effective way of tube feeding in children, with a relatively low complication rate. |
