Date: 06 Nov 2012

Percutaneous Endoscopic Gastrostomy

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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].