Respuesta a la alimentación postquirúrgica temprana posterior a la colocación de gastrostomía endoscópica percutánea en pacientes pediátricos del Hospital de niños Dr. Roberto Gilbert Elizalde entre el año 2015 – 2020.

Abstract

Percutaneous endoscopic gastrostomy (GEP) is a surgical procedure that allows the provision of assisted enteral feeding for the supply of nutrients for a long period of time in patients with loss of the swallowing reflex but that preserves the functions of the gastrointestinal tract. Methods: It is a prospective observational study that compares the response to early postsurgical feeding after the placement of percutaneous endoscopic gastrostomy in pediatric patients. All patients were evaluated by the doctor before beginning tube feeding. The Ponsky traction technique ("pull") was used to perform the GEP. Results: 52 pediatric patients from the Dr. Roberto Gilbert Children's Hospital were included, of whom no statistical difference in gender was evident, with a mean age of 40.9 months and a mode of 3 months. The most frequent pathology was of neurological cause with 71.2% and followed by 30.8% of respiratory pathology. It was found that 94.2% (49) of the patients had good tolerance within the first 24 hours after the placement of percutaneous endoscopic gastrostomy and 5.8% (3) did not tolerate feeding until 48 hours and 5 days after the surgical procedure. . Three patients presented post-surgical complications such as vomiting, intestinal perforation, and liver laceration. Conclusions: This study demonstrates that the response to the initiation of early postsurgical feeding at 4, 6, 8 and up to 24 hours after the placement of percutaneous endoscopic gastrostomy in pediatric patients is safe and has good acceptance.