Review article: percutaneous endoscopic gastrostomy in infants and children

• Published in: Alimentary pharmacology & therapeutics 2010-04, Vol.31 (8), p.788-801
• Main Authors: FRÖHLICH, T., RICHTER, M., CARBON, R., BARTH, B., KÖHLER, H.
• Format: Article
• Language: English
• Subjects: Adolescent; Biological and medical sciences; Child; Child, Preschool; Contraindications; Digestive system; Endoscopy, Gastrointestinal - adverse effects; Endoscopy, Gastrointestinal - methods; Enteral Nutrition - methods; Female; Gastroenterology. Liver. Pancreas. Abdomen; Gastrointestinal Diseases - surgery; Gastrostomy - methods; Humans; Infant; Intraoperative Care - methods; Male; Medical sciences; Pharmacology. Drug treatments; Postoperative Care - methods; Treatment Outcome
• ISSN: 0269-2813; 1365-2036
• DOI: 10.1111/j.1365-2036.2010.04246.x

Aliment Pharmacol Ther 31, 788–801 Summary Background  Percutaneous endoscopic gastrostomy (PEG) placement is widely accepted in children needing long‐term gastrostomy feeding and clinical experience has been accumulated using PEG in children for nearly three decades. Aim  To discuss the current knowledge about clinical application of percutaneous endoscopic gastrostomy in children as well as associated complications and special aspects. Methods  We reviewed literature on PEG, primarily in children, with a focus on complications, gastro‐oesophageal reflux, potential benefits and parental perceptions. In addition to reviewing scientific literature, we considered clinical experience and judgment in developing recommendations for special aspects concerning PEG in children. Results  Since its introduction in 1980, the use of PEG in paediatric patients has become widely accepted. With expanded experience, the number of medical conditions for which PEG is indicated, as well as the use of new techniques has increased. Published reports have helped improve expertise in dealing with associated complications; however, several key issues remain unresolved such as the implications of gastro‐oesophageal reflux associated with PEG placement. Conclusions  Percutaneous endoscopic gastrostomy insertion for enteral nutrition in children and adolescents is an efficient and safe technique, even in small children, and is associated with a tolerable complication rate.