Percutaneous endoscopic gastrostomy applications in children with feeding difficulty due to chronic neurological diseases Kronik nörolojik hastaliǧa baǧli beslenme güçlüǧü çeken çocuklarda perkütan endoskopik gastrostomi uygulamalari


Ulukaya Durakbaşa Ç., Kiliç Y. E. , Pelit M., Şehiralti V., Aksu N., Mutuş M., ...Daha Fazla

Cocuk Cerrahisi Dergisi, cilt.20, sa.2, ss.89-94, 2006 (Diğer Kurumların Hakemli Dergileri) identifier

  • Cilt numarası: 20 Konu: 2
  • Basım Tarihi: 2006
  • Dergi Adı: Cocuk Cerrahisi Dergisi
  • Sayfa Sayıları: ss.89-94

Özet

Aim: The aim is to evaluate the results obtained from percutaneous endoscopic gastrostomy (PEG) placement in children with feeding difficulties due to chronic neurological disease in a pediatric surgical clinic and also to evaluate the current situation and circumstances in Türkiye on the subject. Material and Methods: PEG was placed under general anesthesia and antibioticprophylaxis in the operating theatre. Pull technique over a guide wire was used with the aid of fiber optic endoscopy. The caregiver was educated about the proper catheter use and care. Results: During an-8-month period, seven children having severe feeding difficulties and chronic neurological disease underwent PEG placement. They were aged between 15-120 months and weighed between 7,5-16 kg. No procedure-related major complication or mortality occurred. Currently six patients are alive and being fed through the PEG. All gained weight with a decrease in hospital admission rate and an increase in life quality within a catheter follow-up period of 80-265 days. The parents were positive about the effects of PEG on the general well-being and growth of their children. Conclusion: The results obtained showed PEG is safe and effective in providing long-term enteral nutritional support. It definitely deserves a try to overcome the difficulties and prejudice encountered in practice in our country.