Pediatr Gastroenterol Hepatol Nutr. 2014 Dec;17(4):214-22. doi: 10.5223/pghn.2014.17.4.214. Epub 2014 Dec 31.
Short-Term Complications of Percutaneous Endoscopic Gastrostomy according to the Type of Technique.
Pediatric gastroenterology, hepatology & nutrition
Mi Hyeon Gang, Jae Young Kim
Affiliations
Affiliations
- Department of Pediatrics, Chungnam National University School of Medicine, Daejeon, Korea.
PMID: 25587521
PMCID: PMC4291446 DOI: 10.5223/pghn.2014.17.4.214
Abstract
PURPOSE: The method of percutaneous endoscopic gastrostomy (PEG) tube placement can be divided into the pull and introducer techniques. We compared short-term complications and prognosis between patients who underwent the pull technique and two other types of introducer techniques, the trocar introducer technique and T-fastener gastropexy technique.
METHODS: Twenty-six patients who underwent PEG were enrolled in this study. We retrospectively investigated the age, sex, body weight, weight-for-age Z-score, underlying diseases, PEG indications, complications, duration of NPO (nil per os), pain control frequency, and duration of antibiotic therapy. The patients were classified into three groups according to the PEG technique. The occurrence of complications was monitored for 10 weeks after the procedure.
RESULTS: The age, sex, body weight, and weight-for-age Z-score were not significantly between the three groups. Most patients had cerebral palsy and seizure disorders. Dysphagia was the most common indication for PEG. Major complications occurred in 5 (50%), 4 (66.7%), and 0 (0%) patients in group I, II, and III, respectively (p=0.005). Further, peristomal infection requiring systemic antibiotic therapy occurred in 2 (20%), 3 (50%), and 0 (0%) patients in group I, II, and III, respectively (p=0.04). There was no significant difference between the groups with respect to minor complications, duration of NPO, pain control frequency, and duration of antibiotic therapy.
CONCLUSION: The results indicate that the T-fastener gastropexy technique was associated with the lowest rate of major complications.
Keywords: Complications; Gastrostomy
References
- Gastrointest Endosc. 2012 May;75(5):988-96 - PubMed
- Clin Nutr. 2004 Jun;23(3):341-6 - PubMed
- Dig Dis Sci. 2011 Jul;56(7):2024-9 - PubMed
- Gastrointest Endosc. 1981 Feb;27(1):9-11 - PubMed
- Acta Gastroenterol Belg. 2014 Mar;77(1):8-12 - PubMed
- Surg Endosc. 2015 Jan;29(1):170-5 - PubMed
- BMC Gastroenterol. 2009 Jun 26;9:48 - PubMed
- Gastrointest Endosc. 1996 Aug;44(2):164-7 - PubMed
- Dig Dis Sci. 2014 Jan;59(1):117-25 - PubMed
- J Pediatr Surg. 1998 Jan;33(1):67-72 - PubMed
- Arq Gastroenterol. 2011 Oct-Dec;48(4):231-5 - PubMed
- Clin Med (Lond). 2002 May-Jun;2(3):250-5 - PubMed
- Dig Endosc. 2012 Nov;24(6):426-31 - PubMed
- J Pediatr Surg. 1980 Dec;15(6):872-5 - PubMed
- Gastrointest Endosc. 1997 Jan;45(1):64-71 - PubMed
- Surg Endosc. 2008 Jan;22(1):167-70 - PubMed
- Surg Endosc. 2006 Aug;20(8):1248-51 - PubMed
- Can J Gastroenterol. 2008 Dec;22(12):993-8 - PubMed
- J Clin Nurs. 2009 Apr;18(7):938-48 - PubMed
- J Pediatr Surg. 1991 Mar;26(3):288-92; discussion 292-4 - PubMed
- Surgery. 2012 Oct;152(4):714-9; discussion 719-21 - PubMed
- Semin Pediatr Surg. 2009 May;18(2):93-7 - PubMed
- Pediatr Surg Int. 2013 Jun;29(6):613-21 - PubMed
- J Pediatr Gastroenterol Nutr. 2006 Nov;43(5):624-8 - PubMed
- J Pediatr Gastroenterol Nutr. 2010 Apr;50(4):390-3 - PubMed
- Cochrane Database Syst Rev. 2006 Oct 18;(4):CD005571 - PubMed
- Gastrointest Endosc. 2003 Jun;57(7):837-41 - PubMed
- Mayo Clin Proc. 1992 Nov;67(11):1042-9 - PubMed
- Aliment Pharmacol Ther. 2010 Apr;31(8):788-801 - PubMed
- Am J Surg. 1984 Jul;148(1):132-7 - PubMed
- Aliment Pharmacol Ther. 2007 Mar 15;25(6):647-56 - PubMed
- Laryngoscope. 2003 Nov;113(11):1898-902 - PubMed
Publication Types