The principles of enhanced recovery after percutaneous endoscopic gastrostomy (ERaPEG): a UK tertiary center experience
Topic overview
This UK study demonstrates that implementing an enhanced recovery pathway (ERaPEG) for pediatric PEG insertion significantly reduced hospital stay from 51.5 to 32 hours without increasing readmissions. The pathway proved safe and satisfactory to parents, with over 80% reporting confidence in post-operative gastrostomy management.
Key takeaways
- Enhanced recovery pathway (ERaPEG) reduced median hospital stay from 51.5 to 32 hours after pediatric PEG insertion (p<0.001).
- 30-day readmission rates remained stable (6% vs 11%), demonstrating safety of earlier discharge with structured pathway.
- Over 80% of parents felt confident managing gastrostomy feeds post-discharge after standardized education and support.
- Most patients were neurodisabled children requiring PEG for medication/nutritional supplementation rather than exclusive feeding.
- ERAS principles applied to endoscopic procedures can improve resource utilization without compromising safety or family satisfaction.
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How to cite: GlobalCastMD. The principles of enhanced recovery after percutaneous endoscopic gastrostomy (ERaPEG): a UK tertiary center experience. GlobalCastMD Medical Library. 2024-05-05. https://dev.library.globalcastmd.com/article/8577?via_space=staycurrentmd
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