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Modified percutaneous endoscopic gastrostomy tubes: experience in Thai children.
J Med Assoc Thai. 2002 Nov; 85 Suppl 4:S1183-90.JM

Abstract

BACKGROUND

Percutaneous endoscopic gastrostomy (PEG) is a well-established alternative to open gastrostomy for providing long-term enteral nutrition. Although the commercial PEG tube is available and suitable for the procedure, its cost is relatively high for low socioeconomic people. Therefore, modified PEG tubes have been used in our hospital.

OBJECTIVES

To evaluate the outcome and complications of PEG performed in children at Ramathibodi Hospital and compare the results between the commercial PEG and modified PEG tubes.

METHOD

All children who had PEG performed at Ramathibodi Hospital, from January 1999 to May 2002, were included in the study. The demographic data, indications for PEG, types of PEG tube, outcomes and complications were retrospectively reviewed. The modified PEG tube was made by connecting a Malecot four-wing catheter to the previously used, re-sterilized distal part of a commercial PEG tube.

RESULTS

PEG was performed on 34 children, aged 4 months to 13 years, and successfully placed in 30 children (88.2%). The commercial and modified PEG tubes were used in 20 cases and 10 cases, respectively. Early complications occurring in the first 7 days post-procedure were found in 9 cases (30%) as follow: peritonitis (1 case), peristomal wound infection (7 cases), and subcutaneous emphysema (1 case). Late complications occurring at more than 7 days post-procedure were found in 15 cases (50%) and all were minor problems. There was no difference in complication rates between the 2 types of PEG tubes.

CONCLUSION

PEG is safe even in small infants. Minor complications are common but can be simply managed. The modified PEG tube is an alternative for a commercial PEG tube in an unaffordable situation.

Authors+Show Affiliations

Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12549793

Citation

Treepongkaruna, Suporn, et al. "Modified Percutaneous Endoscopic Gastrostomy Tubes: Experience in Thai Children." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 85 Suppl 4, 2002, pp. S1183-90.
Treepongkaruna S, Pansrimangkorn W, Pienvichit P, et al. Modified percutaneous endoscopic gastrostomy tubes: experience in Thai children. J Med Assoc Thai. 2002;85 Suppl 4:S1183-90.
Treepongkaruna, S., Pansrimangkorn, W., Pienvichit, P., Kolkalkul, J., & Suthutvoravut, U. (2002). Modified percutaneous endoscopic gastrostomy tubes: experience in Thai children. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 85 Suppl 4, S1183-90.
Treepongkaruna S, et al. Modified Percutaneous Endoscopic Gastrostomy Tubes: Experience in Thai Children. J Med Assoc Thai. 2002;85 Suppl 4:S1183-90. PubMed PMID: 12549793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modified percutaneous endoscopic gastrostomy tubes: experience in Thai children. AU - Treepongkaruna,Suporn, AU - Pansrimangkorn,Wichai, AU - Pienvichit,Paneeya, AU - Kolkalkul,Jinnapak, AU - Suthutvoravut,Umaporn, PY - 2003/1/29/pubmed PY - 2003/2/14/medline PY - 2003/1/29/entrez SP - S1183 EP - 90 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 85 Suppl 4 N2 - BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is a well-established alternative to open gastrostomy for providing long-term enteral nutrition. Although the commercial PEG tube is available and suitable for the procedure, its cost is relatively high for low socioeconomic people. Therefore, modified PEG tubes have been used in our hospital. OBJECTIVES: To evaluate the outcome and complications of PEG performed in children at Ramathibodi Hospital and compare the results between the commercial PEG and modified PEG tubes. METHOD: All children who had PEG performed at Ramathibodi Hospital, from January 1999 to May 2002, were included in the study. The demographic data, indications for PEG, types of PEG tube, outcomes and complications were retrospectively reviewed. The modified PEG tube was made by connecting a Malecot four-wing catheter to the previously used, re-sterilized distal part of a commercial PEG tube. RESULTS: PEG was performed on 34 children, aged 4 months to 13 years, and successfully placed in 30 children (88.2%). The commercial and modified PEG tubes were used in 20 cases and 10 cases, respectively. Early complications occurring in the first 7 days post-procedure were found in 9 cases (30%) as follow: peritonitis (1 case), peristomal wound infection (7 cases), and subcutaneous emphysema (1 case). Late complications occurring at more than 7 days post-procedure were found in 15 cases (50%) and all were minor problems. There was no difference in complication rates between the 2 types of PEG tubes. CONCLUSION: PEG is safe even in small infants. Minor complications are common but can be simply managed. The modified PEG tube is an alternative for a commercial PEG tube in an unaffordable situation. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/12549793/Modified_percutaneous_endoscopic_gastrostomy_tubes:_experience_in_Thai_children_ DB - PRIME DP - Unbound Medicine ER -