Akademik Veri Yönetim Sistemi
Cocuk Cerrahisi Dergisi, cilt.20, sa.3, ss.170-173, 2006 (Scopus, TRDizin)
Aim: Percutaneous endoscopic gastrostomy (PEG) was first developed for children as a minimally invasive method. After it was described, first adult gastroenterologists started to perform PEG, followed by general surgeons and pediatric gastroenterologists, as pediatric surgeons being the last group to accept this technique. Early and late complications may occur during PEG procedure. However these complications can be prevented by strictly obeying the technical rules and a careful follow up after the procedure. Herein we summarized the clinical features of our patients who had PEG. Material and Method: The hospital records of 8 patients who underwent PEG during 2000- 2004 were evaluated retrospectively. In all patients, PEG procedure was performed as Gauderer had described. Results: Between 2000- 2004, PEG procedure was performed to 8 patients aging 1-13 years (avarage 5,5). Among them, fundoplication was performed to 3 patients with symptomatic gastroesophageal reflux (GER). In the other 5 patients, GER symptoms did not occur after PEG procedure. Durig their follow up, one PEG catheter was taken out from a patient after postoperative 19 months for sufficient oral feeding and one catheter was replaced by a button after 6th months because of catheter breakage. Conclusion: PEG procedure is an altenative method to open gastrostomy which increases the life quality of patients when performed with a correct technique.