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354184

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

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Last updated: 29 Mar 2025

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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.
 

DOI

10.21608/azjp.2024.354184

Keywords

Key words: percutaneous endoscopic gastrostomy (PEG), Neurological swallowing Difficulties, Medical and socioeconomic impact

Authors

First Name

Ahmed Gamiel Ahmed Gawiesh1*, Sabry Mohammed Ghanem1, Ashraf Yahia Abdelgawad1,

Last Name

Maged Mohammed Ismail2, Ahmed saadeldeen Ibrahem mansour1, Mohammed sobhy mohammed mansour1

MiddleName

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Affiliation

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

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Volume

27

Article Issue

2

Related Issue

47602

Issue Date

2024-04-01

Receive Date

2024-05-12

Publish Date

2024-04-01

Page Start

3,887

Page End

3,897

Print ISSN

1110-7774

Online ISSN

3009-7770

Article File

AZJP_Volume 27_Issue 2_Pages 3887-3897.pdf

PDF . 197.2kB

Link

https://azjp.journals.ekb.eg/article_354184.html

Detail API

http://journals.ekb.eg?_action=service&article_code=354184

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3

Type

Original Article

Type Code

1,135

Publication Type

Journal

Publication Title

Al-Azhar Journal of Pediatrics

Publication Link

https://azjp.journals.ekb.eg/

MainTitle

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

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Article

Created At

25 Dec 2024