Inhibition of Gastroesophageal Reflux by Semi-solid Nutrients in Patients With Percutaneous Endoscopic Gastrostomy

Neurogenic oropharyngeal dysphagia (NOD) was a frequent complication after a stroke, determining the further prognosis and quality of life, causing a number of serious complications. Patients with severe NOD was recommended enteral feeding through the nasogastric tube (NGT) with the subsequent formation of a percutaneous endoscopic gastrostomy (PEG). Prolonged use of NGT had its own complications – sinusitis, gastroesophageal reflux, aspiration pneumonia, etc., and therefore it should be limited in time. In various recommendations, the length of terms before the formation of the PEG remained controversial. The analysis of modern tactics of PEG in patients after severely developed NOD was performed on the basis of literature data.

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Gastroesophageal Reflux and Nissen Fundoplication Following Percutaneous Endoscopic Gastrostomy in Children

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/00005176-199803000-00006 ◽

1998 ◽

Vol 26 (3) ◽

pp. 269-273 ◽

Cited By ~ 41

Author(s):

Eva Sulaeman ◽

John N. Udall ◽

Raynorda F. Brown ◽

Elizabeth E. Mannick ◽

William A. Loe ◽

...

Keyword(s):

Gastroesophageal Reflux ◽

Percutaneous Endoscopic Gastrostomy ◽

Nissen Fundoplication ◽

Endoscopic Gastrostomy ◽

Gastrostomy In Children

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Does infusion delivery via a percutaneous endoscopic gastrostomy prevent gastroesophageal reflux during enteral nutrition?

Gastroenterology ◽

10.1016/0016-5085(95)27224-0 ◽

1995 ◽

Vol 108 (4) ◽

pp. A728

Keyword(s):

Gastroesophageal Reflux ◽

Enteral Nutrition ◽

Percutaneous Endoscopic Gastrostomy ◽

Endoscopic Gastrostomy

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Percutaneous Endoscopic Gastrostomy in Children: Influence on Gastroesophageal Reflux

PEDIATRICS ◽

10.1542/peds.97.5.726 ◽

1996 ◽

Vol 97 (5) ◽

pp. 726-728

Author(s):

V. Launay ◽

F. Gottrand ◽

D. Turck ◽

L. Michaud ◽

S. Ategbo ◽

...

Keyword(s):

Gastroesophageal Reflux ◽

Enteral Nutrition ◽

Percutaneous Endoscopic Gastrostomy ◽

Endoscopic Gastrostomy ◽

Before And After ◽

The Mean ◽

Few Data ◽

Surgical Gastrostomy ◽

The Relationship ◽

Gastrostomy In Children

Objective. Few data exist in the literature about the relationship between percutaneous endoscopic gastrostomy (PEG) and gastroesophageal reflux (GER) in children, and the data that do exist are contradictory. The aim of the present study was to evaluate the effect of PEG on GER. Methods. Twenty children underwent PEG for enteral nutrition. They were 55 ± 55 months old and weighed 13 ± 10 kg. A pH study was performed before and after PEG without treatment when GER status was unknown (n = 10) or under treatment (n = 10) if previous GER was demonstrated. In these cases, the pH study was performed under the same treatment before and after PEG. Results. Six pH studies had abnormal results before PEG. After PEG, the GER of these 6 children significantly improved after the treatment was intensified (n = 5) or spontaneously normalized (n = 1). Results of 13 pH studies that were previously normal remained normal. Only one child with a normal reflux index before PEG had GER after it. For the 20 children, the mean reflux index did not change significantly after PEG (5.5% vs 5.6%). Conclusion. Contrary to surgical gastrostomy, PEG does not worsen GER. Therefore, GER is not a contraindication to PEG.

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