Description

McSweeney et al identified risk factors for complications in pediatric patients following placement of a percutaneous endoscopic gastrostomy (PEG) tube. These can help to identify a patient who may benefit from more aggressive management. The authors are from Boston Children's Hospital, Harvard Medical School and UMass Memorial Children's Medical Center.


 

Patient selection: pediatric patient following PEG tube placement

 

Major complications included:

(1) infection requiring hospitalization

(2) dehiscence of PEG tract

(3) granulation tissue requiring surgery

(4) perforation of viscus

(5) pneumoperitoneum

(6) cardiopulmonary arrest

(7) PEG tube failure requiring replacement

(8) any other event requiring additional hospitalization, surgery or intervention

 

Minor complications included:

(1) minor infection

(2) PEG tube dislodgement

(3) hematoma

(4) retained PEG bolsters during exchange to skin-level device

(5) PEG tube malfunction

 

Risk factors associated with an increased risk of complications:

(1) ventriculoperitoneal shunt

 

Risk factors associated with a decreased risk of complications:

(1) age at tube placement < 6 months

(2) ASA class III

(3) presence of a neurologic disorder

 


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