Pediatr Gastroenterol Hepatol Nutr.  2014 Dec;17(4):214-222. 10.5223/pghn.2014.17.4.214.

Short-Term Complications of Percutaneous Endoscopic Gastrostomy according to the Type of Technique

• Gang MH
• Kim JY

• KMID: 2315495
• DOI: http://doi.org/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.

Keyword

Gastrostomy; Complications

MeSH Terms

Body Weight
Cerebral Palsy
Deglutition Disorders
Epilepsy
Gastropexy
Gastrostomy*
Humans
Prognosis
Retrospective Studies
Surgical Instruments

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