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Nutrition in Infancy pp 57–64Cite as

Percutaneous Endoscopic Gastrostomy

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Part of the book series: Nutrition and Health ((NH))

Abstract

Children who are unable to maintain adequate nutrition due to poor oral intake require enteral feeding [1–4]. In this situation, a clinical judgement is usually made between either nasogastric feeds or gastrostomy. The decision hinges on the benefits of a long-term gastrostomy versus the risks of the procedure [5]. Nasogastric feeds are often commenced initially, and a decision to proceed with gastrostomy occurs when it becomes clear that longer-term or permanent enteral feeding is required. The commonest reason for gastrostomy placement in children is neurological disability (congenital or acquired brain injury), followed by other indications such as congenital heart disease, chronic lung disease, cystic fibrosis, congenital malformations that prevent swallowing and malignancy [6, 7].

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Authors and Affiliations

  1. Department of Paediatric Surgery and Gastroenterology, Discipline of Paediatrics and Child Health, School of Medicine and Public Health, University of Newcastle, John Hunter Children’s Hospital, 1, Hunter Regional Mail Centre, Newcastle, NSW, 2310, Australia

    Patricia Davidson M.D., F.R.A.C.S., F.R.C.S., F.R.C.P. & Scott Nightingale B.Med. (Hons), Mclin. Epid, F.R.A.C.P.

Authors
  1. Patricia Davidson M.D., F.R.A.C.S., F.R.C.S., F.R.C.P.
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  2. Scott Nightingale B.Med. (Hons), Mclin. Epid, F.R.A.C.P.
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Corresponding author

Correspondence to Patricia Davidson M.D., F.R.A.C.S., F.R.C.S., F.R.C.P. .

Editor information

Editors and Affiliations

  1. Arizona Health Science Center, Mel and Enid Zuckerman, University of Arizona, 1295 N. Martin, Tucson, 85724-5155, Arizona, USA

    Ronald Ross Watson

  2. Centre for Gastroenterology, and Nutrition, University College London, Gower Street, London, WC1E 6BT, United Kingdom

    George Grimble

  3. School of Medicine, Diabetes & Nutritional, King's College London, 150 Stamford St., London, SE1 9NH, United Kingdom

    Victor R. Preedy

  4. Division of Health Promotion Sciences, Mel and Enid Zuckerman, University of Arizona, 1295 N. Martin Avenue, Tucson, 85724, Arizona, USA

    Sherma Zibadi

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Davidson, P., Nightingale, S. (2013). Percutaneous Endoscopic Gastrostomy. In: Watson, R., Grimble, G., Preedy, V., Zibadi, S. (eds) Nutrition in Infancy. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-254-4_5

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  • DOI: https://doi.org/10.1007/978-1-62703-254-4_5

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-253-7

  • Online ISBN: 978-1-62703-254-4

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