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Review
. 2008 Dec;22(12):993-8.
doi: 10.1155/2008/583470.

Percutaneous endoscopic gastrostomy in children

Wael El-Matary  1
Affiliations
Review

Percutaneous endoscopic gastrostomy in children

Wael El-Matary. Can J Gastroenterol. 2008 Dec.

Abstract
in English, French

Percutaneous endoscopic gastrostomy has been a valuable tool in nutritional rehabilitation since its inception in 1980. Although it was originally described in children, a large sector of the adult population is dependent on it for nutritional support. Percutaneous endoscopic gastrostomy tube insertion is generally a safe procedure. Nevertheless, variable incidence rates of complications have been reported. The present review highlights the up-to-date indications, contraindications and complications of percutaneous endoscopic gastrostomy in children, along with a discussion of issues that need further exploring through future research.

La gastrostomie endoscopique percutanée est un outil précieux pour la réadaptation nutritionnelle depuis sa création en 1980. Bien qu’à l’origine, elle ait été décrite chez les enfants, un vaste secteur de la population adulte en dépend pour le soutien nutritionnel. En général, l’insertion de la sonde de gastrostomie endoscopique percutanée est une intervention sécuritaire. Néanmoins, on a déclaré des taux de complications d’incidence variable. La présente analyse souligne les indications à jour, les contre-indications et les complications de la gastrostomie endoscopique percutanée chez les enfants, de même qu’un exposé des enjeux qui ont besoin d’une exploration plus approfondie par de futures recherches.

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Figures

Figure 1)
Figure 1)
Suggested algorithm for patients who are referred for assessment for percutaneous endoscopic gastrostomy (PEG) tube insertion. F/U Follow-up; G Gastrostomy; GERD Gastroesophageal reflux disease; Lap Laparoscopic; NG Nasogastric; NJ Nasojejunal
See this image and copyright information in PMC

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