PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN CH ILDHOOD

Percutaneous endoscopic gastrostomy (PEG) has become a good alternativ e to nasogastric tube feeding and surgical gastrostomy. The procedure requires two practitionners, one of them being an endoscopist. The tec hnique can be performed either under local or general anesthesia, at b edside or in an operating room or endoscopic room, using a one step bu tton or first setting of a catheter and secondly a button, by pull tec hnique in which the button is pulled through eosophagus or push techni que were the button is pushed through the parietal wall. Its is used t o deliver enteral nutriments in patients who need tube feeding. In pae diatrics practice, morbidity rate related to PEG is less than 1% and m orbidity less than 10%. PEG appears as a simple, safe, practical, esth etic and cheap procedure.