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Clinical outcome after percutaneous endoscopic gastrostomy in children with malignancies
Author(s) -
Parbhoo Deena M,
Tiedemann Karin,
CattoSmith Anthony G
Publication year - 2011
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.22873
Subject(s) - medicine , percutaneous endoscopic gastrostomy , peg ratio , surgery , percutaneous , retrospective cohort study , gastrostomy , pediatrics , economics , finance
Percutaneous endoscopic gastrostomies (PEG) are little‐used in pediatric oncology. We evaluated complications and efficacy of PEGs in children with malignancies in a retrospective case series. Outcome measures were infection and weight gain. Sixteen PEGs were inserted in 14 patients (mean age 10.3 years; SD 5.6). Sixteen wound infections occurred in nine children (3.7 episodes/1,000 days). Mean weight‐for‐age z‐score fell from diagnosis to PEG placement (−0.68 (SD 1.2) to −1.32 (SD 1.26); P < 0.001) but stabilized afterward. Two (12%) were removed early. PEG placement reversed early weight loss and infectious complications did not usually lead to early PEG removal. Pediatr Blood Cancer 2011;56:1146–1148. © 2011 Wiley‐Liss, Inc.