Abstract
The benefit of a hyperalimentation in patients with cystic fibrosis is well known. Oral hyperalimentation is difficult to perform and gastric tubes are not well accepted by the patients. In a prospective study we investigated whether PEG might be an alternative in the application of hypercaloric diet. So far PEG was performed in 9 children aged from 7,2 to 17,9 years. In 8 patients we have a follow-up of at least 3 months. Those patients entered the study where there was 1. a percentage ideal weight for height (IWH) below 80% 2. and/or no improvement of the IWH above 3% despite optimal conventional nutrition in a 6 month period. PEG was performed under general anaesthesia according to the method of Keymling°. Except of two dislocations of the PEG-tube, which were easily corrected, we saw no complications. PEG was well accepted by the patients and their parents. In addition to normal nutrition the children received 1000 kcal bulkage-free diet over night. After 3 months there was a mean increase of IWH of 9% (3-12%), of triceps skin fold thickness of 2,91 mm (-0,3-6,9 mm) and of upper arm circumference of 1,88 cm (0,9-2,9 cm). From these data we conclude that PEG is a very effective and save procedure in the nutritional therapy in patients with cystic fibrosis.
°Keymling M, Schlee P, Wörner W. Die perkutane endoskopisch kontrollierte Gastrostomie. DMW 112:182(1987)
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Rodeck, B., Steinkamp, G., Burdelski, M. et al. PERCUTANEOUS ENDOSCOPIC CONTROLLED GASTROSTOMY (PEG) FOR ALIMENTATION OF CHILDREN WITH CYSTIC FIBROSIS. Pediatr Res 26, 276 (1989). https://doi.org/10.1203/00006450-198909000-00076
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DOI: https://doi.org/10.1203/00006450-198909000-00076