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Introduction <p>Despite its benefits in treating severe gastroesophageal reflux disease (GERD) symptoms, percutaneous endoscopic gastrojejunostomy (PEG-J) is associated with numerous complications and represents a&#xa0;considerable burden for children, most of whom have neurological impairments, as well as for their families. The aim of our study was to present the clinical experiences with PEG‑J from both the physicians’ and families’ perspectives, to describe its effectiveness and typical complications and to discuss the findings in the context of current literature.</p> Methods <p>A&#xa0;retrospective analysis of patient data from 2015 to the end of 2024 was conducted, complemented by a&#xa0;standardized survey of families. All data were anonymized and analyzed descriptively.</p> Results <p>Between 2015 and 2024 there were 16&#xa0;patients (10&#xa0;boys and 6&#xa0;girls) who underwent PEG‑J placement in our institution for various indications. Of the children 13 (87%) experienced at least 1&#xa0;complication, most often several, including tube displacement (9/60%), buried bumper syndrome (3/20%), mechanical problems (4/27%) and/or wound-healing disorders (9/60%). A&#xa0;total of 53&#xa0;repeat endoscopies were performed, corresponding to an average of&#xa0;1.8 endoscopies per child and year. Most families reported satisfactory treatment effects, as nearly all children experienced at least partial symptom improvement. At the same time, 69% of respondents described the complications as severe and/or highly burdensome.</p> Conclusion <p>The PEG‑J is a&#xa0;meaningful treatment option for patients with upper gastrointestinal dysfunction, particularly for children with severe GERD and risk of aspiration; however, the high complication rate underscores the need for thorough diagnostic evaluation and multidisciplinary decision-making.</p>

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Perkutane endoskopische Gastrojejunostomie (PEG-J)

  • 期刊论文

  • 发表日期：

    2026年5月18日

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  • Yaroslav Isaev,
  • A. Worm,
  • M. C. Detemple,
  • K. Radecke

摘要

Introduction

Despite its benefits in treating severe gastroesophageal reflux disease (GERD) symptoms, percutaneous endoscopic gastrojejunostomy (PEG-J) is associated with numerous complications and represents a considerable burden for children, most of whom have neurological impairments, as well as for their families. The aim of our study was to present the clinical experiences with PEG‑J from both the physicians’ and families’ perspectives, to describe its effectiveness and typical complications and to discuss the findings in the context of current literature.

Methods

A retrospective analysis of patient data from 2015 to the end of 2024 was conducted, complemented by a standardized survey of families. All data were anonymized and analyzed descriptively.

Results

Between 2015 and 2024 there were 16 patients (10 boys and 6 girls) who underwent PEG‑J placement in our institution for various indications. Of the children 13 (87%) experienced at least 1 complication, most often several, including tube displacement (9/60%), buried bumper syndrome (3/20%), mechanical problems (4/27%) and/or wound-healing disorders (9/60%). A total of 53 repeat endoscopies were performed, corresponding to an average of 1.8 endoscopies per child and year. Most families reported satisfactory treatment effects, as nearly all children experienced at least partial symptom improvement. At the same time, 69% of respondents described the complications as severe and/or highly burdensome.

Conclusion

The PEG‑J is a meaningful treatment option for patients with upper gastrointestinal dysfunction, particularly for children with severe GERD and risk of aspiration; however, the high complication rate underscores the need for thorough diagnostic evaluation and multidisciplinary decision-making.