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Safety Techniques for Percutaneous Endoscopic Gastrostomy Tube Placement in Pierre Robin Sequence
Author(s) -
AlZubeidi Dina,
Rahhal Riad M.
Publication year - 2011
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607110381268
Subject(s) - medicine , percutaneous endoscopic gastrostomy , gastrostomy , feeding tube , surgery , enteral administration , complication , airway , parenteral nutrition , gastrostomy tube , pierre robin syndrome , peg ratio , finance , economics
Pierre Robin Sequence (PRS) is a craniofacial anomaly characterized by a triad of micrognathia, glossoptosis, and cleft palate. Infants with PRS frequently have feeding problems that may require supplemental nutrition through a nasogastric or gastrostomy tube. Very few published studies have illustrated the most appropriate method for securing an enteral feeding route in this patient population. One case report described a major complication leading to death from airway compromise following percutaneous endoscopic gastrostomy (PEG) tube placement. The authors describe a case of an infant with PRS who underwent successful PEG tube placement without complications, and they highlight certain techniques to improve procedure success and patient safety.