Table 6.

Summary of PRNT recommendations for placement of gastrostomy devices while on PD [45]

In a child who is likely to need PD, and in whom enteral tube feeding is required, gastrostomy tube insertion by PEG or RIG should, whenever possible, be performed before placement of a PD catheter

A gastrostomy device can be inserted simultaneously with a PD catheter if the gastrostomy is placed by open surgery or PLAG

In a child who is already receiving PD an open or laparoscopically assisted gastrostomy is the preferred procedure

Antibiotic prophylaxis, based on local antibiotic sensitivities, is recommended for all children undergoing gastrostomy placement

Children who are already established on PD or who receive a gastrostomy at the same time as a PD catheter should receive broad spectrum antibiotic and antifungal prophylaxis in the peri-operative period of gastrostomy placement

PD should be withheld for 24 h or longer after gastrostomy placement if it is clinically safe to do so

PD peritoneal dialysis, PEG percutaneous endoscopic gastrostomy, PLAG percutaneous laparoscopic assisted gastrostomy, RIG percutaneous radiologically inserted gastrostomy