Faculty Collaboration Database

Safety and Efficacy of Bedside Percutaneous Endoscopic Gastrostomy Placement in the Neonatal Intensive Care Unit. J Pediatr Gastroenterol Nutr 2018 Jul;67(1):40-44

Date

02/06/2018

Pubmed ID

29401084

DOI

10.1097/MPG.0000000000001906

Scopus ID

2-s2.0-85050122569 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

OBJECTIVE: The aim of the study is to describe the safety and efficacy of bedside percutaneous endoscopic gastrostomy (PEG) placement in a level 3 neonatal intensive care unit (NICU).

METHODS: A retrospective chart review was performed on 106 infants with a birthweight ≤6 kg receiving bedside PEG placement at Johns Hopkins All Children's Hospital between 2007 and 2013. Preprocedure, postprocedure, and demographic data were collected. The main safety outcome was postprocedure complication rate and the main efficacy outcome was time to initiate feeds and time on respiratory support.

RESULTS: The mean birth weight and mean gestational age of our population at the time of procedure were 2.2 kg and 33 weeks, respectively. There were 9 total complications (8.5%) with major complications being only 2 (1.8%). There were no instances of blood stream infections. The mean length of time to initiate feeds was 1.2 days (standard deviation [SD] = 1.2). Ninety-three percent of patients were extubated within 24 hours.

CONCLUSIONS: Bedside PEG placement is safe with minimal complications. It is associated with little need for ventilator support and allows for early re-initiation of feeds and early success at reaching goal feedings.

Author List

Driver K, Schilling R, Goodwin A, Martinez D, Amankwah E, Shakeel F, Wilsey M

Author

Ernest Amankwah PhD Director, Associate Professor in the Clinical and Translational Science Institute department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Endoscopy
Enteral Nutrition
Female
Gastrostomy
Gestational Age
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases
Intensive Care Units, Neonatal
Length of Stay
Male
Point-of-Care Systems
Retrospective Studies