jeanne de flandre university hospital, CHU, Lille
Pediatric gastroenterology hepatology and nutrition
- Pediatrician, staff member Department of Pediatrics, University Hospital of Lille Professor of Pediatrics, Faculty of medicine, University of Lille - Chair of Work Package 1 “Environmental contributions to mucosal homeostasis” Institute for Translational Research in Inflammation, INFINITE Inserm U1286 - Coordinator of the pediatric clinical investigation center (and Clinical Investigation Center CIC-1403-Inserm) of Lille University hospital - Head of the research department of the Pediatrics Department at Lille University hospital - Research Vice president of the “Directoire” (Executive Directory) of the University Hospital of Lille - Past President of the CRBSP (research committee of biomedical and public health) of the University Hospital of Lille - Co chair of PedStart, a national network of clinical investigation in pediatrics (F-Crin network) Member of the French Society of Pediatrics, French Speaking Group of Pediatric Gastroenterology, Hepatology and Nutrition (past president), French Society of Nutrition, French Speaking Society of Parenteral and Enteral Nutrition, European Society for Pediatric Gastroenterology, Hepatology and Nutrition (Past member of the Gastrointestinal committee, Esophageal atresia WP leader), European Society of Parenteral and Enteral Nutrition, Oesophagus Workstream co-leader of ERNICA (European rare Network) Scientific production and acknowledgement More than 650 papers published in peer-reviewed journals, 31 book chapters, more than 110 appearances in international conferences including 44 invited conferences in international congresses or meetings. H Index: 76

Moderator of 2 Sessions

Gastroenterology WG/SIG
Session Type
Gastroenterology WG/SIG
Date
Wed, 17.05.2023
Room
Hall -2.47
Session Time
17:00 - 18:30
Session Type
Industry
Date
Fri, 19.05.2023
Room
Hall G
Session Time
10:45 - 11:45
Session Description
New trends in Enteral Nutrition for children with Gastrointestinal impairment - Industry Symposium Supported by Nestlé Nutrition Institute

Presenter of 5 Presentations

Q&A (ID 2031)

Session Type
Industry
Date
Fri, 19.05.2023
Session Time
10:45 - 11:45
Room
Hall G
Lecture Time
11:35 - 11:45

MANAGING GORD IN ESOPHAGEAL ATRESIA PATIENTS: A GOOD IDEA? (ID 1557)

Session Type
Gastroenterology
Date
Thu, 18.05.2023
Session Time
15:45 - 17:45
Room
Hall D
Lecture Time
16:50 - 17:10

Weaning from enteral nutrition: who, when and how (ID 2028)

Session Type
Industry
Date
Fri, 19.05.2023
Session Time
10:45 - 11:45
Room
Hall G
Lecture Time
10:50 - 11:05

Welcome Introduction (ID 2027)

Session Type
Industry
Date
Fri, 19.05.2023
Session Time
10:45 - 11:45
Room
Hall G
Lecture Time
10:45 - 10:50

G-O013 - COMPLICATIONS OF ONE-STEP BUTTON PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN CHILDREN (ID 202)

Session Type
Gastroenterology
Date
Fri, 19.05.2023
Session Time
12:00 - 13:00
Room
Hall B
Lecture Time
12:45 - 12:54

Abstract

Objectives and Study

One step button per endoscopic gastrostomy (B-PEG) has become increasingly used in children but large series addressing complications on a long follow-up are missing. To assess the complications of one-step button percutaneous endoscopic gastrostomy (B-PEG) and determine risk factors for developing stomal infections or gastropexy complications.

Methods

A retrospective study of 679 children who underwent a B-PEG procedure in a single tertiary care center over a 10-year period to December 2020 was conducted. Patient characteristics, early complications (occurring £7 days after the procedure), late complications (>7 days after the procedure), and outcomes were collected from medical records. A list of potential risk factors, including age at procedure, prematurity, underlying neurological disease, and undernutrition, was determined a priori.

Results

At least 1 year of follow-up was available for 513 patients. Median follow-up duration was 2.8 years (interquartile range 1.0–4.9 years). Major complications were rare (<2%), and no death was related to B-PEG. Early complications affected 15.9% of the study population, and 78.0% of children presented late complications. Development of granulation tissue was the most common complication followed in frequency by tube dislodgment and T-fastener complications. Only 24 patients (3.5%) presented stomal infections. Young age at the time of PEG placement (odds ratio (OR) 2.34 [1.03–5.30], p = .042) and prematurity (OR 2.54 [1.10 – 5.83], p = 0.029) were risks factor for developing peristomal infection. T-fastener migration occurred in 17.3% of children, and we found underlying neurological disease was a protective factor (OR 0.59 [0.37–0.92], p = .019).

Conclusions

B-PEG is a safe method and associated with a low rate of local infection. However, T-fasteners are associated with significant morbidity and require particular attention in young and premature infants.

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