De Bruyne, Ruth

Van Biervliet, Stephanie

Van Renterghem, Katrien

Van Winckel, Myriam

Vande Putte, D

Vande Velde, Saskia

English

Ghent University Academic Bibliography

Abstract Submission for ESPGHAN Update 2012Clinical NutritionESPGHAN12-1023GASTROSTOMY USE IN CHILDREN: A SINGLE CENTRE EXPERIENCES. Van Biervliet 1,*, K. Van Renterghem 2, D. Vande Putte 2, S. Vande Velde 1, R. De Bruyne 1, M. Van Winckel 11Paediatric Gastro-enterology and nutrition, 2Paediatric Surgery, Gent University hospital, Gent, BelgiumPlease select your preferred presentation type: Oral or PosterHas this abstract previously been presented or published?: NoObjectives and Study: Introduction: The percutaneous endoscopic gastrostomy (PEG) is frequently used in children inneed of medium or long term tube feeding.Aim: To evaluate the indications, gastrostomy type, complications and evolution over time in one centre as part of aquality check.Methods: Methods: This study includes all patients with a gastrostomy consulting at the paediatric gastro-enterologydepartment of our centre during the period 2007-2009. Records were reviewed in December 2010.Results: Results: In this period 178 patients consulted with a gastrostomy of which 6 were placed in another centre.Almost 94% was placed by the pull technique under endoscopy (n=167). Neurodevelopmental disability (NDD) ormuscular disease was the major indication (114, 64%). Other indications were cystic fibrosis (13), gastroenterological(16), metabolic (12), cardiologic (9), nephrological (8) and oncological diseases (6). Twenty (11%) patients (aged 6.4yr(0.75-25)) deceased during follow up (2yr (0.1-14.5) after placement). Immediate complications were 1 case of peritonitis,1 case of fever treated with prolonged intravenous antibiotics due to the presence of a ventriculoperitoneal drain. Latecomplications were a gastrocolic fistula in the patient with post-insertion peritonitis and a buried bumper in 8 (4.5%)patients after 6yr (4.5-10) of PEG tube use. Tube feeding was stopped in 27 (15%) after 2.3 yrs (1.27-4.1) mostly in non-NDD. The proportion of tube feeding is decreasing in 16 (9%). The tube type is a PEG-tube in 73 (56%) of which 6 wereelongated with a jejunal tube, a button tube in 47 (36%) and a balloon gastrostomy in 11 (8%).  Gastro-oesophagealreflux disease (GORD) led to Nissen fundoplication in 45 (25.3%) patients. Over the years the percentage in need ofGORD surgery remained about 20% of all gastrostomy patients but the time lapse between the 2 procedures decreased.The simultaneous performance of the procedure increased from 10% to 68.5%.Conclusion: Conclusion: Gastrostomy tubes are increasingly used for patients with feeding difficulties of different originmost frequently placed by endoscopy. The major indication remains NDD. In case of important GORD laparoscopicNissen procedure and PEG placement can be performed simultaneously.Disclosure of Interest: None Declared

Gastrostomy use in children: a single centre experience

https://biblio.ugent.be/publication/3175450/file/3175456

Gastrostomy use in children: a single centre experience

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Ghent University Academic Bibliography