Resumo

CARIDO, Joana; SANTOS, Carla; FERREIRA, Maria Gomes  e  FONSECA, Jorge. Enteric Nutrition Through Percutaneous Endoscopic Gastrostomy In Pediatric Patients: Retrospective Evaluation In 40 Consecutive Patients. J Port Gastrenterol. [online]. 2011, vol.18, n.6, pp.273-278. ISSN 0872-8178.

INTRODUCTION: Percutaneous endoscopic gastrostomy (PEG) is the gold standard in long term tube feeding of pediatric patients. However, there is still some restriction to PEG placement, in some places, due to the concept that this techni­que should only be performed in Pediatric Gastrointestinal Units. OBJECTIVES: To evaluate a group of long term gastrostomy fed children followed by an Enteral Nutrition Team which assists adults and children. Evaluation included success of PEG placement, safety, evolution and outcome. METHODS: From PEG patients we selected children ≤ 16 years. We evaluated demographic data, underlying disease, gastrostomy placement, complications, clinical outcome. Using SPSS, survival of children with stable lesions was compared with children with progressive diseases. RESULTS: Gastrostomy placement was achieved in all 40 children sent to us for that purpose with neurological or muscular diseases. There were only a few major complications and surgery was never needed. Du­ring the first 6 months after PEG placement, every child gained weight. Children with stable lesions had a longer survival (p=0,002). CONCLUSIONS: PEG placement was successful and safe. Enteral nutrition in children was successful resulting in increased weight. Child survival was related with the underlying disease. Enteral feeding teams working with adults should also take care of enteral fed children, with the support of pediatricians

Palavras-chave : Percutaneous Endoscopic Gastrostomy; PEG; Enteral Nutrition; Pediatric; Children.

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