Percutaneous endoscopic gastrostomy in children

Percutaneous endoscopic gastrostomy (PEG) is a safe and effective technique performed by pediatric gastroenterologists to provide a route of enteral nutrition for the pediatric patient who is unable to maintain adequate oral nutrition. PEG is widely accepted as the preferred modality to establish enteral access. Although generally a safe procedure, children undergoing PEG placement are at risk for both minor and major tube-related complications in the immediate and long-term period following PEG. The indications, technique, alternative procedures, post-procedural care and complications of PEG in the pediatric patient will be discussed in this chapter.