Abstract
Purpose: Recently, gastrostomy has become a more important procedure because severe neonatal patients requring enteral nutrition have been rescued. The method of gastrostomy for children needs to be simple and safe. We report the usefulness of the percutaneous endoscopic gastrostomy (PEG) procedure with the seldinger technique combined with a percutaneous anchoring device (S-PEG) for children.
Methods: Fifteen pediatric patients below 16 years old, who underwent PEG from January 2007 to December 2012 in our institute, were retrospectively reviewed.
Results: The mean operative time was 26.9 ± 3.7 minutes. There were no operative complications. One case was converted to laparoscopic operation. Postoperative complications were found in 2 cases with infection of the anchoring suture, and 4 cases with granulation around gastrostomy tube, which were subsequently treated by conservative therapies. There was no complication of gastrostomy tube exchange.
Conclusions: PEG with the Seldinger technique combined with a percutaneous anchoring device (S-PEG) is simple, safe, and is a very useful technique for children.
