TY - JOUR
T1 - Laparoscopically monitored percutaneous endoscopic gastrostomy (PEG) in children
T2 - A safer procedure
AU - Lotan, G.
AU - Broide, E.
AU - Efrati, Y.
AU - Klin, B.
PY - 2004/8
Y1 - 2004/8
N2 - Background: Percutaneous endoscopic gastrostomy (PEG) has now become the preferred technique for facilitating enteral nutrition in children with inadequate caloric intake. Because many problems related to PEG insertion have recently been reported, we were motivated to reassess this established technique. We have therefore added a new step-laparoscopic monitoring-to the classic PEG procedure. Methods: Fifteen children who required PEG during the previous year were studied. Their ages ranged from 2 months to 18 years. Six children were <1 year old at the time of operation. In 11 patients, the PEG was performed at the end of a laparoscopic Nissen fundoplication. In the others, it was done as a single procedure. Results: In all 15 children, the PEG was performed safely and quickly, without complications. Conclusion: The addition of 'laparoscopic monitoring' to the classic PEG procedure introduced by Gauderer et al. changes the first and last parts of the procedure from an almost 'blind' undertaking to a well-controlled and safer procedure.
AB - Background: Percutaneous endoscopic gastrostomy (PEG) has now become the preferred technique for facilitating enteral nutrition in children with inadequate caloric intake. Because many problems related to PEG insertion have recently been reported, we were motivated to reassess this established technique. We have therefore added a new step-laparoscopic monitoring-to the classic PEG procedure. Methods: Fifteen children who required PEG during the previous year were studied. Their ages ranged from 2 months to 18 years. Six children were <1 year old at the time of operation. In 11 patients, the PEG was performed at the end of a laparoscopic Nissen fundoplication. In the others, it was done as a single procedure. Results: In all 15 children, the PEG was performed safely and quickly, without complications. Conclusion: The addition of 'laparoscopic monitoring' to the classic PEG procedure introduced by Gauderer et al. changes the first and last parts of the procedure from an almost 'blind' undertaking to a well-controlled and safer procedure.
KW - Children
KW - Enteral nutrition
KW - Laparoscopy
KW - Percutaneous endoscopic gastrostomy (PEG)
UR - http://www.scopus.com/inward/record.url?scp=3543044952&partnerID=8YFLogxK
U2 - 10.1007/s00464-002-9071-8
DO - 10.1007/s00464-002-9071-8
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C2 - 15136921
AN - SCOPUS:3543044952
SN - 0930-2794
VL - 18
SP - 1280
EP - 1282
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 8
ER -