Medical and Socioeconomic Impact of Percutaneous Endoscopic Gastrostomy in Children with Neurological Swallowing Difficulties

Maged Mohammed Ismail2, Ahmed Saadeldeen Ibrahem Mansour1, Mohammed Sobhy Mohammed Mansour1, Ahmed Gamiel Ahmed Gawiesh1*, Sabry Mohammed Ghanem1, Ashraf Yahia Abdelgawad1,

doi:10.21608/azjp.2024.354184

Medical and Socioeconomic Impact of Percutaneous Endoscopic Gastrostomy in Children with Neurological Swallowing Difficulties

Document Type : Original Article

Author

Ahmed Gamiel Ahmed Gawiesh1*, Sabry Mohammed Ghanem1, Ashraf Yahia Abdelgawad1, Maged Mohammed Ismail2, Ahmed saadeldeen Ibrahem mansour1, Mohammed sobhy mohammed mansour1

1Departments of Pediatric &2 Pediatric surgery, Faculty of Medicine, Al-Azhar University for boys.

10.21608/azjp.2024.354184

Abstract

Background: Dysphagia refers to feeding or swallowing disorders characterized by challenges with the placement, reception, maintenance, and transmission of food and liquids from the oral cavity to the esophagus and stomach.
Purpose: To evaluate the socioeconomic and medical impact of percutaneous endoscopic gastrostomy in children suffering from neurological digestive disorders.
Patients & methods: This was a follow up prospective study performed on thirty children who had neurological swallowing difficulties that was predetermined at the Outpatient Clinic of the Pediatric Gastroenterology Unit and the Inpatient of the Pediatric department ,Faculty of Medicine, Al-Azhar University Hospitals, from January 2022 to January 2024.
Results: Our results showed that regarding demographic data of the studied group. The patients age was 7.25±4.290 years,. Male were 17while female were 13 .Distribution of studied sample according to manifestations it shows that 21 had Intractable convulsions, 13 with Frequent chocking, 11patients complaining from recurrent pneumonia ,regarding to complications of PEG Major Complications show that one patient had Buried bumper syndrome. Minor Complications 12(40.0%) had Local infection, 9(30.0%) had Accidental removal, 1(3.3%) had Leakage and 1(3.3%) had Fistula formation. Our study revealed, significant decrease in all medical outcomes except neurological signs, Also, there was statistically significant improvement of family social impact of PEG and it shows that 25(83.3%) had good family's satisfaction, 30(100.0%) of caregiver had no difficulties in finding a place to feed outside the home, Also there was significant positive economic impact where the majority of patients had reduce the costs of repeatedly hospitalizing .
Conclusion: PEG had a positive medical improvement for children with neurological swallowing difficulties and a positive socioeconomic impact on both the child and the caregiver.

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