Evaluation of patients with percutaneous endoscopic gastrostomy which was followed at Dicle University Medical Fakulty Pediatric Intensive Care Unit between 2015-2020.

Introduction and Objective: This study was conducted to retrospectively investigate the demographic data, indications and complications of the patients who underwent Percutaneous Endoscopic Gastrostomy (PEG) tube placement at the Dicle University Faculty of Medicine Hospital Pediatric Intensive Care Unit. Material and Method: Patients between 0-18 years of age who had Percutaneous Endoscopic Gastrostomy in the pediatric intensive care unit of Dicle University Faculty of Medicine between 2015-2020, and patients who had electrogastrograms (EGGs) once before and after PEG placement were included in the research. Results: Of the patients, 64.5% was male and 35.5% was female. Looking at the ages of the patients at the time of PEG placement, the average age of the patients at the time of PEG placement was 51.84±43,254 (months), and the average age was 4.316±3.608 (years). Patients' primary diagnosis were hypoxic ischemic encephalopathy (HIE) in 22.6% of the patients, spinal muscular atrophy in 22.6%, chronic pulmonary disease in 19.4%, cerebral palsy in 12.9%, tracheomalacia in 6.5%, and drowning in 6.5% at the time of admission to our hospital. Patient indications were found to be swallowing dysfunction in 90.3%, and vomiting and nutritional intolerance in 9.7%. According to their complications, 45.2% had a leak out, 41.9% had skin infection and loosening, 38.7% had no complications, 12.9% had tube or catheter obstruction, 9.7% had skin granuloma, 9.7% had tube or catheter removal, 12.9% had a dirty leakage coming from the tube, had bile and bloody leakage in the tube, 3.2% had post-PEG residues and 3.2% had skin abscess. Looking at the mortality rates of patients, 41.5% died, and 58.1% was discharged with full recovery. Considering the PEG histories of the patients, it was found that 25.8% had a PEG placement for 2 times, 3.2% had 3 times, and 3.2% had a PEG placement for 4 times. Conclusion: PEG is one of the safe, effective, methods with low morbidity and mortality rates that does not require general anesthesia, and can be applied even at the bedside, and should be preferred in long-term enteral nutrition. Keywords:Pediatric Intensive Care Unit, Percutaneous Endoscopic Gastrostomy