Abstract:

Objective: Percutaneous endoscopic gastrostomy (PEG) is the most common and most simple, minimally invasive method in gastrostomy methods. So, The aim of the study was to evaluate at the result of patients who underwent PEG at our clinics. At the same time, we was to estimate the influence of PEG placement on gastro-esophageal reflux.Material and methods: Between January 2010 and 2012, 13 patients who underwent PEG tube in two pediatric surgery centers were retrospectively evaluated.Results: There were 7 female (%54), 6 male (%46) patient. The mean age was 3,5. The mean duration of hospital stay was 3 ± 1 days. The mean time to start feeding was 31 ± 8 hours, the mean operation time was 45 ± 15 minutes. There was no significant difference in feeding time between girls and boys. Indication for PEG insertion was swallowing dysfunction due to neurological condition in 12 patients and swallowing dysfunction after repair of esophageal atresia in 1 patient. We have performed gastroesophageal reflux analysis before in our patients. Two patients with hypoxic ischemic encephalopathy who had aspiration pneumonia after PEG insertion and one patients who underwent esophageal atresia repair, had undergone antireflux surgery. There aren't postoperative complication in other ten patients and they are feeding with PEG.Conclusion: PEG is a technically feasible method. PEG may increase the rate of gastroesophageal reflux. PEG could be performed without invasive analysis and surgery. Invasive analysis and surgery may be done later.

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