P0739 PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBES (PEG) IN CHILDREN: A RARE COMPLICATION
Bibliographic record
Abstract
Introduction: Percutaneous endoscopic gastrostomy (PEG) has been widely accepted as an efficacious way of nutritional support in infant and child. Scanty information have been reported regarding frequency and type of complications, arising from removal of PEG tubes in these patients. The aim of the report is to describe three pediatric cases of retained internal bumper after PEG. Methods: The records of 102 patients who had PEG tubes placed from January 1992 to July 2003 were reviewed for complications after removal. In our centre approximately 3 months after the procedure all catheters were removed and replaced with gastric buttons or tubes. Because it can be painful we have always performed this procedure in theatre under sedation. Results: Breaking of the bumper during tube removal by traction occurred in three patients (2.9%). In two, the foreign body was endoscopically removed. In one patient the bumper migrated in the esophagus and caused perforation of the esophageal wall with important mediastinitis. Conclusion: We suggest to remove the PEG always in theatre, with endoscopic control, to minimize child discomfort, to manage and to avoid possible serious complications. The retained bumper must be immediately removed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".