PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN CHILDREN ON PERITONEAL DIALYSIS

• Published in: Peritoneal dialysis international 2006-01, Vol.26 (1), p.69-77
• Main Authors: von Schnakenburg, Christian, Feneberg, Reinhard, Plank, Christian, Zimmering, Miriam, Arbeiter, Klaus, Bald, Martin, Fehrenbach, Henry, Griebel, Martin, Licht, Christoph, Konrad, Martin, Timmermann, Kirsten, Kemper, Markus J
• Format: Article
• Language: English
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Child; Child, Preschool; Emergency and intensive care: renal failure. Dialysis management; Female; Follow-Up Studies; Gastroscopy; Gastrostomy - methods; Glomerulonephritis; Humans; Infant; Infant, Newborn; Intensive care medicine; Kidney Failure, Chronic - therapy; Male; Malnutrition - therapy; Medical sciences; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Peritoneal Dialysis - adverse effects; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Time Factors; Treatment Outcome
• ISSN: 0896-8608; 1718-4304
• DOI: 10.1177/089686080602600111

Department for Pediatrics and Adolescent Medicine, 1 University Hospital Freiburg, Freiburg, Germany; Arbeitsgemeinschaft für Pädiatrische Nephrologie, 2 (APN) Correspondence to: C. von Schnakenburg, Department for Pediatrics and Adolescent Medicine, University Hospitals, Mathildenstrasse 1, D-79106 Freiburg, Germany. christian.schnakenburg{at}uniklinik-freiburg.de Objective: Insertion of percutaneous endoscopic gastrostomies (PEG) in patients on chronic peritoneal dialysis (PD) has been reported to be contraindicated due to an increased risk of morbidity and mortality. However, no systematic survey on this topic has yet been published. Design: Retrospective multicenter study. Setting: 23 pediatric dialysis units associated with the working group Arbeitsgemeinschaft für Pädiatrische Nephrologie (APN). Data Source: A structured questionnaire on clinical details of PD patients who had undergone PEG insertion or open gastrostomy (OG) since 1994 was distributed to all pediatric dialysis units of the APN. Results: 27 PD patients (20 males) from 12 centers in whom PEG insertion was performed after Tenckhoff catheter introduction were evaluated. Age at intervention ranged from 0.25 to 10.9 years (median 1.3 years). Most patients were malnourished, with standard deviation score (SDS) for body weight between –4.2 and –0.6 (median–2.2). Major complications were early peritonitis