Single-center experience with 1-step low-profile percutaneous endoscopic gastrostomy in children

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10 Citations (Scopus)

Abstract

Objectives: The 1-step low-profile percutaneous endoscopic gastrostomy (1-step PEG) uses a single procedure that allows immediate use of a low-profile device. The aim of the present study was to provide our experience with this device and to analyze complications and outcomes after the initial placement. Methods: We performed a retrospective chart review of pediatric patients with 1-step PEG placement done by our pediatric gastroenterologists between 2006 and June 2011. Patients were studied for a minimum period of 6 months. Results: A total of 121 patients were included in our study, with 23% infants. The most common indication for 1-step PEG placement was swallowing dysfunction in children with neurological impairment (49%). Postplacement complications included granulation tissue (52%), cellulitis (23%), leakage (21%), vomiting (17%), tissue breakdown (8%), failed placement (6%), embedded bolster (5%), perforation (0.8%), and bowel obstruction (0.8%). One-step PEG was maintained in 46 patients (38%). In the remaining 75 patients (62%), PEGs were changed to a balloon device in 66 patients and were completely removed in 9 patients. The most common indications for change were damaged PEG (19/75) and issues with size (11/75). The time to change ranged from <1 month to >4 years (14 ± 1.3 months). Sixty-eight percent of 1-step PEG changes/removal was performed with an obturator under brief inhalated anesthesia. Conclusions: The 1-step PEG has complication rates and outcomes comparable with standard PEGs.

Original languageEnglish (US)
Pages (from-to)616-620
Number of pages5
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume58
Issue number5
DOIs
StatePublished - 2014

Fingerprint

Gastrostomy
Equipment and Supplies
Pediatrics
Cellulitis
Granulation Tissue
Deglutition
Vomiting
Anesthesia

Keywords

  • 1-step low-profile percutaneous endoscopic gastrostomy
  • children
  • complications
  • gastrostomy tube

ASJC Scopus subject areas

  • Gastroenterology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

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title = "Single-center experience with 1-step low-profile percutaneous endoscopic gastrostomy in children",
abstract = "Objectives: The 1-step low-profile percutaneous endoscopic gastrostomy (1-step PEG) uses a single procedure that allows immediate use of a low-profile device. The aim of the present study was to provide our experience with this device and to analyze complications and outcomes after the initial placement. Methods: We performed a retrospective chart review of pediatric patients with 1-step PEG placement done by our pediatric gastroenterologists between 2006 and June 2011. Patients were studied for a minimum period of 6 months. Results: A total of 121 patients were included in our study, with 23{\%} infants. The most common indication for 1-step PEG placement was swallowing dysfunction in children with neurological impairment (49{\%}). Postplacement complications included granulation tissue (52{\%}), cellulitis (23{\%}), leakage (21{\%}), vomiting (17{\%}), tissue breakdown (8{\%}), failed placement (6{\%}), embedded bolster (5{\%}), perforation (0.8{\%}), and bowel obstruction (0.8{\%}). One-step PEG was maintained in 46 patients (38{\%}). In the remaining 75 patients (62{\%}), PEGs were changed to a balloon device in 66 patients and were completely removed in 9 patients. The most common indications for change were damaged PEG (19/75) and issues with size (11/75). The time to change ranged from <1 month to >4 years (14 ± 1.3 months). Sixty-eight percent of 1-step PEG changes/removal was performed with an obturator under brief inhalated anesthesia. Conclusions: The 1-step PEG has complication rates and outcomes comparable with standard PEGs.",
keywords = "1-step low-profile percutaneous endoscopic gastrostomy, children, complications, gastrostomy tube",
author = "Nicole Pattamanuch and Inna Novak and Loizides, {Anthony Meneloas} and Andrea Montalvo and Thompson, {John F.} and Yolanda Rivas and Pan, {Debra H.}",
year = "2014",
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language = "English (US)",
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pages = "616--620",
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T1 - Single-center experience with 1-step low-profile percutaneous endoscopic gastrostomy in children

AU - Pattamanuch, Nicole

AU - Novak, Inna

AU - Loizides, Anthony Meneloas

AU - Montalvo, Andrea

AU - Thompson, John F.

AU - Rivas, Yolanda

AU - Pan, Debra H.

PY - 2014

Y1 - 2014

N2 - Objectives: The 1-step low-profile percutaneous endoscopic gastrostomy (1-step PEG) uses a single procedure that allows immediate use of a low-profile device. The aim of the present study was to provide our experience with this device and to analyze complications and outcomes after the initial placement. Methods: We performed a retrospective chart review of pediatric patients with 1-step PEG placement done by our pediatric gastroenterologists between 2006 and June 2011. Patients were studied for a minimum period of 6 months. Results: A total of 121 patients were included in our study, with 23% infants. The most common indication for 1-step PEG placement was swallowing dysfunction in children with neurological impairment (49%). Postplacement complications included granulation tissue (52%), cellulitis (23%), leakage (21%), vomiting (17%), tissue breakdown (8%), failed placement (6%), embedded bolster (5%), perforation (0.8%), and bowel obstruction (0.8%). One-step PEG was maintained in 46 patients (38%). In the remaining 75 patients (62%), PEGs were changed to a balloon device in 66 patients and were completely removed in 9 patients. The most common indications for change were damaged PEG (19/75) and issues with size (11/75). The time to change ranged from <1 month to >4 years (14 ± 1.3 months). Sixty-eight percent of 1-step PEG changes/removal was performed with an obturator under brief inhalated anesthesia. Conclusions: The 1-step PEG has complication rates and outcomes comparable with standard PEGs.

AB - Objectives: The 1-step low-profile percutaneous endoscopic gastrostomy (1-step PEG) uses a single procedure that allows immediate use of a low-profile device. The aim of the present study was to provide our experience with this device and to analyze complications and outcomes after the initial placement. Methods: We performed a retrospective chart review of pediatric patients with 1-step PEG placement done by our pediatric gastroenterologists between 2006 and June 2011. Patients were studied for a minimum period of 6 months. Results: A total of 121 patients were included in our study, with 23% infants. The most common indication for 1-step PEG placement was swallowing dysfunction in children with neurological impairment (49%). Postplacement complications included granulation tissue (52%), cellulitis (23%), leakage (21%), vomiting (17%), tissue breakdown (8%), failed placement (6%), embedded bolster (5%), perforation (0.8%), and bowel obstruction (0.8%). One-step PEG was maintained in 46 patients (38%). In the remaining 75 patients (62%), PEGs were changed to a balloon device in 66 patients and were completely removed in 9 patients. The most common indications for change were damaged PEG (19/75) and issues with size (11/75). The time to change ranged from <1 month to >4 years (14 ± 1.3 months). Sixty-eight percent of 1-step PEG changes/removal was performed with an obturator under brief inhalated anesthesia. Conclusions: The 1-step PEG has complication rates and outcomes comparable with standard PEGs.

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