Complications of PEG are not related to age – The result of 10-year multicenter survey

The aim of this study was to analyze whether the insertion of Percutaneous Endoscopic Gastrostomy (PEG) during infancy is related to higher morbidity. Moreover, we analyzed the structure of indications to PEG placement in various age groups of pediatric patients. The study involved medical data of c...

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Published in:Advances in medical sciences 2016-03, Vol.61 (1), p.1-5
Main Authors: Szlagatys-Sidorkiewicz, Agnieszka, Borkowska, Anna, Popińska, Katarzyna, Toporowska-Kowalska, Ewa, Grzybowska-Chlebowczyk, Urszula, Wernicka, Anna, Hapyn, Ewa, Sibilska, Marta, Gębora-Kowalska, Beata, Więcek, Sabina, Zagożdżon, Paweł, Kierkuś, Jarosław
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Children
Complications
Endoscopy - adverse effects
Enteral feeding
Female
Gastrostomy
Gastrostomy - adverse effects
Health Care Surveys
Humans
Infant
Male
Malnutrition
Morbidity
Poland - epidemiology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prevalence
Safety
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Summary:The aim of this study was to analyze whether the insertion of Percutaneous Endoscopic Gastrostomy (PEG) during infancy is related to higher morbidity. Moreover, we analyzed the structure of indications to PEG placement in various age groups of pediatric patients. The study involved medical data of children after PEG insertion from six Polish endoscopic centers: infants (36 months). The overall prevalence of early complications associated with PEG insertion was 5.14%; while they were noted in infants and preadolescents, none were recorded in toddlers. The analyzed age groups did not differ significantly in terms of the prevalence of late complications. Cerebral palsy (34.86%) and other chronic neurological conditions (34.29%) were the most frequent indications to PEG insertion in the whole group. Patients with congenital heart defects and multiple defect syndrome were inserted PEG at the youngest age; in contrast, the age at insertion was the highest in cystic fibrosis patients. The early qualification to nutritional intervention via endoscopically formed gastrostomy can have important clinical implications with regards to improved therapeutic outcomes and reduced morbidity rates.
ISSN:1896-1126
1898-4002
DOI:10.1016/j.advms.2015.07.006