• Faisal A Alhaffaf, Awad S Alqahtani, Abdulrahman A Alrobyan, Sarah N Alqubaisi, Bashar A Ahmad, Mohammad R Almutairi, Sami A Wali, and Hamoud A Alhebbi.
• From the Gastroenterology Division, Department of Pediatrics (Alhaffaf, Alqahtani, Alqubaisi, Wali, Alhebbi), from the Department of Medicine (Alrobyan), from the Department of Radiology (Ahmad), and from the Endoscopy Unit, Almutairi, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
• Saudi Med J. 2021 Feb 1; 42 (2): 205-208.

ObjectivesTo evaluate the demographic data and complications in children who had undergone percutaneous endoscopic gastrostomy (PEG) over 9 years period.MethodsThe demographic data, complications, length of hospital admission related to PEG insertion and follow-up findings of 39 patients who had undergone percutaneous endoscopic gastrostomy using the standard pull-through technique between 2011 and 2020 were examined. The study took place at the Gastroenterology Division, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia RESULTS: The most common indications of feeding with a gastrostomy tube include neurological diseases (n=30, 76.9%), followed by metabolic disorders (n=3, 7.69%), chronic diarrhea (n=2, 5.1%), chronic kidney diseases (n=2, 5.1%), cystic fibrosis (n=1, 2.56%), feeding aversion fibrosis (n=1, 2.56%). Out of the 39 patients, 20 (51%) did not have any complications. However, minor complication are expected. Most common complications included local infection (n=14, 35.89%) followed by granulation tissue (n=6, 15.38%), "buried bumper syndrome" developed in one.ConclusionPercutaneous endoscopic gastrostomy tube is the desirable method for patients who are unable to feed orally, feeding is not adequate for demands, has special feeding requirements, or swallowing dysfunction. The technique has become more widespread because of its simplicity, safety, and low cost. Major complications are rare. The procedure is safe and effective and could be carried out by pediatric gastroenterologists after training.Copyright: © Saudi Medical Journal.

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