Çocuklarda perkütan endoskopik gastrostomi deneyimi ve aile memnuniyeti

Amaç: Bu çalışmada perkütan endoskopik gastrostomi (PEG) işlemi uygulanmış çocukların demografik verilerinin, komplikasyon oranlarının irdelenmesi ve aile memnuniyetinin sorgulanması amaçlanmıştır.Gereç ve Yöntem: Hasta dökümanlarından demografik bilgiler, altta yatan hastalık, PEG öncesi ve sonrası antropometrik ölçümler ve z skorları, PEG’e bağlı komplikasyonlar ile izlem süresi kaydedildi. Bulgular: Üç yıl içinde 21 hastaya PEG işlemi gerçekleştirilmişti. Olguların ortanca yaşı 74 ay idi. Olguların çoğunluğunu nörolojik, onkolojik ve metabolik hastalığı olan çocuklar oluşturmaktaydı (sırasıyla %71.4, %14.3 ve %14.3). Hastaların başlangıç ile 6.ay, 6-12. ay ve başlangıç ile 12.ay arasındaki tüm antropometrik ölçümlerinde istatistiksel olarak anlamlı artışı bulundu. Ancak 6-12.ay arasında boy ve kilo ortanca z skorları karşılaştırıldığında anlamlı yükseklik gözlenmedi). Ebeveynlerin işlem sonrası PEG ile ilgili görüşleri olumlu idi. İşlem sonrasında bir hastada ostomi sızıntısı ve üç hastada yerel stoma enfeksiyonu geliştiği tesbit edildi. Sonuç: Perkütan endoskopik gastrostomi, çocuklarda ve ergenlerde olduğu gibi, süt çocuklarında da oldukça başarılı ve güvenilir bir yöntemdir. Ailelerin işlem sonrası perkütan endoskopik gastrostomi ile ilgili görüşleri olumludur.

Anahtar Kelimeler:

aile memnuniyeti, çocuk, malnütrisyon, perkütan endoskopik gastrostomi

Percutaneous endoscopic gastrostomy experience in children and family satisfaction

Purpose: The aim of this study was to evaluate the demographic data, complication rates of children who underwent percutaneous endoscopic gastrostomy (PEG) and to question family satisfaction.Materials and Methods: Demographic information, underlying diseases, anthropometric measurements before and after PEG and z scores advanced complications due to processing and follow-up periods were obtained from patient files.Results: In three years, 21 patients underwent PEG procedures. The median age of the patients was 74 months. The majority of the cases consisted of children with neurological, oncological and metabolic diseases (71.4%, 14.3% and 14.3%, respectively). There was a statistically significant increase between baseline and 6th month and between baseline and 12th month of the all antropometric measures z scores. But no significant difference was observed between 6th month and 12th month of the median weight and height z scores. Parents' opinions about PEG were positive. After the procedure, one patient had ostomy leakage and three patients had local stoma infection. Conclusion: Percutaneous endoscopic gastrostomy is a very successful and reliable method in children and adolescents as well as in infants. Families' opinions on PEG after the procedure were positive.

Keywords:

Parental satisfaction, children, complication, percutaneous endoscopic gastrostomy,

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