The development of gastroesophageal reflux after percutaneous endoscopic gastrostomy

J. Andrew Isch, Frederick J. Rescorla, L. R. Tres Scherer, Karen W. West, Jay L. Grosfeld

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

The relationship between percutaneous endoscopic gastrostomy (PEG) and subsequent development of gastroesophageal reflux (GER) is complex and not well understood. The authors retrospectively reviewed 82 children over a 5- year period who underwent PEG tube (n = 64) or PEG button (n = 18) placement. Children were evaluated preoperatively for clinical evidence of GER (C-GER) or radiographic GER (R-GER) with upper gastrointestinal contrast study or Tc99m gastric scinitiscan. Seventy-five patients were evaluated for clinical evidence of postoperative GER by direct family contact. Eleven of 39 (28%) patients with no GER preoperatively developed GER postoperatively, eight (20%) of whom required Nissen fundoplication (NF) or gastrojejunostomy (GJ) tube. Ten of 19 (53%) with preoperative C-GER but no R-GER continued to have GER after PEG, but only three required NF or GJ. Only one of nine children who had R-GER only developed clinical GER after PEG placement. Of the eight children with both C-GER and R-GER, only two (25%) required NE or GJ and two (25%) had no postoperative GER. The authors conclude that PEG tubes are useful in infants and children and are associated with a relatively low incidence of postoperative GER. If C-GER is absent, a PEG is a reasonable procedure to consider even in the presence of R-GER.

Original languageEnglish (US)
Pages (from-to)321-323
Number of pages3
JournalJournal of Pediatric Surgery
Volume32
Issue number2
DOIs
StatePublished - Feb 1997

Keywords

  • gastroesophageal reflux
  • Percutaneous endoscopic gastrostomy

ASJC Scopus subject areas

  • Surgery

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