Macchini Francesco, Zanini Andrea, Farris Giorgio, Morandi Anna, Brisighelli Giulia, Gentilino Valerio, Fava Giorgio, Leva Ernesto
Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Clin Endosc. 2018 May;51(3):260-265. doi: 10.5946/ce.2017.137. Epub 2018 Jan 9.
BACKGROUND/AIMS: To present a single center's experience with percutaneous endoscopic gastrostomy (PEG) tube placement in infants.
Clinical records of infants who underwent PEG tube placement between January 2010 and December 2015 were reviewed. All patients underwent an upper gastrointestinal contrast study and an abdominal ultrasonography before the procedure. PEGs were performed with a 6-mm endoscope using the standard pull-through technique. Data regarding gestational age, birth weight, age and weight, days to feeding start, days to full diet, and complications were reviewed.
Twenty-three patients were included. The most common indication was dysphagia related to hypoxic-ischemic encephalopathy. Median gestational age was 37 weeks (range, 24-41) and median birth weight was 2,605 grams (560-4,460). Patients underwent PEG procedures at a median age of 114 days (48-350); mean weight was 5.1 kg (3.2-8.8). In all patients but one, a 12-Fr tube was positioned. Median feeding start was 3 days (1-5) and on average full diet was achieved 5 days after the procedure (2-11). Six minor complications were recorded and effectively treated in the outpatient clinic; no major complications were recorded.
PEG is safe and feasible in infants when performed by highly experienced physicians.
背景/目的：介绍一家单一中心在婴儿经皮内镜下胃造口术（PEG）置管方面的经验。
回顾了2010年1月至2015年12月期间接受PEG置管的婴儿的临床记录。所有患者在手术前均接受了上消化道造影检查和腹部超声检查。PEG手术使用6毫米内窥镜采用标准的牵拉技术进行。回顾了有关胎龄、出生体重、年龄和体重、开始喂养天数、达到全量饮食天数及并发症的数据。
纳入23例患者。最常见的指征是与缺氧缺血性脑病相关的吞咽困难。中位胎龄为37周（范围24 - 41周），中位出生体重为2605克（560 - 4460克）。患者接受PEG手术的中位年龄为114天（48 - 350天）；平均体重为5.1千克（3.2 - 8.8千克）。除1例患者外，所有患者均置入了12F的管子。中位开始喂养时间为3天（1 - 5天），术后平均5天（2 - 11天）达到全量饮食。记录到6例轻微并发症并在门诊得到有效治疗；未记录到严重并发症。
由经验丰富的医生进行操作时，PEG在婴儿中是安全可行的。
