Chapter

Nutrition in Infancy

Part of the series Nutrition and Health pp 57-64

Date:

Percutaneous Endoscopic Gastrostomy

  • Patricia DavidsonAffiliated withDepartment of Paediatric Surgery and Gastroenterology, Discipline of Paediatrics and Child Health, School of Medicine and Public Health, University of Newcastle, John Hunter Children’s Hospital Email author 
  • , Scott NightingaleAffiliated withDepartment of Paediatric Surgery and Gastroenterology, Discipline of Paediatrics and Child Health, School of Medicine and Public Health, University of Newcastle, John Hunter Children’s Hospital

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Children who are unable to maintain adequate nutrition due to poor oral intake require enteral feeding [1–4]. In this situation, a clinical judgement is usually made between either nasogastric feeds or gastrostomy. The decision hinges on the benefits of a long-term gastrostomy versus the risks of the procedure [5]. Nasogastric feeds are often commenced initially, and a decision to proceed with gastrostomy occurs when it becomes clear that longer-term or permanent enteral feeding is required. The commonest reason for gastrostomy placement in children is neurological disability (congenital or acquired brain injury), followed by other indications such as congenital heart disease, chronic lung disease, cystic fibrosis, congenital malformations that prevent swallowing and malignancy [6, 7].

Keywords

Gastrostomy Endoscopy Enteral feeding Complications Nutrition