{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T07:31:16Z","timestamp":1786347076792,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Children with severe chronic kidney disease receiving maintenance peritoneal dialysis (PD) are often malnourished and may require nutritional supplementation. Recent PD guidelines address laparoscopic and open surgical gastrostomy as safe approaches in children established on PD, while existing evidence on percutaneous endoscopic gastrostomy (PEG) is still lacking; as well as the role of perioperative antibiotic and antifungal prophylaxis. Hence, this study aimed to report our experience with PEG placement in patients on PD and compare it with the available literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed the medical records from patients on PD, who underwent PEG placement at a tertiary referral centre between 2000 and 2020. Data on perioperative management, complications and outcomes were retrieved. An extensive literature search was performed; studies describing PEG placement and perioperative prophylaxis in patients on PD were used as a comparison. Descriptive statistical analysis was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seven patients (five males) were included. Perioperative antibiotic and antifungal prophylaxis were standard practice. At a median follow-up of 27 months (10\u201375), the peritonitis rate was 0.2 patient\/years. No statistical significance was found between the peritonitis rate before and after PEG placement (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.2). Patients\u2019 demographics and postoperative complications were comparable to the reported studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on our experience, our technique of PEG insertion with antimicrobial prophylaxis is feasible and associated with an acceptable complication risk in patients on PD. Further multicentric studies about surgical technique in patients on PD will be necessary to verify the feasibility of PEG and standardise the perioperative protocol.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608231223812","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T08:14:12Z","timestamp":1706084052000},"page":"374-379","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Percutaneous endoscopic gastrostomy in children receiving peritoneal dialysis: A tertiary centre long-term experience and literature review"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6065-6384","authenticated-orcid":false,"given":"Federica","family":"Fati","sequence":"first","affiliation":[{"name":"Pediatric Surgery Unit, Women\u2019s and Children\u2019s Health Department, University Hospital of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Pulvirenti","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Women\u2019s and Children\u2019s Health Department, University Hospital of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Germana","family":"Longo","sequence":"additional","affiliation":[{"name":"Pediatric Nephrology, Dialysis and Transplant Unit, Women\u2019s and Children\u2019s Health Department, University Hospital of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca Maria","family":"Antoniello","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Women\u2019s and Children\u2019s Health Department, University Hospital of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9610-1708","authenticated-orcid":false,"given":"Elisa","family":"Zambaiti","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Women\u2019s and Children\u2019s Health Department, University Hospital of Padua, Italy"},{"name":"Pediatric Surgery Unit, Patologia e Cura del Bambino Department, Ospedale Infantile Regina Margherita, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piergiorgio","family":"Gamba","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit, Women\u2019s and Children\u2019s Health Department, University Hospital of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0980"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2000.00013.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-022-05529-x"},{"issue":"3","key":"e_1_3_3_5_2","article-title":"KDOQI clinical practice guideline for nutrition in children with CKD: 2008 update. Executive summary","volume":"53","author":"KDOQI Work Group","year":"2009","unstructured":"KDOQI Work Group. KDOQI clinical practice guideline for nutrition in children with CKD: 2008 update. Executive summary. Am J Kidney Dis. 2009; 53(3 Suppl 2): S11\u2013S104.","journal-title":"Am J Kidney Dis"},{"issue":"2","key":"e_1_3_3_6_2","article-title":"Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update","volume":"32","author":"Warady BA","year":"2012","unstructured":"Warady BA, Bakkaloglu S, Newland J, et al. Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. 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