The authors describe their experience with percutaneous gastrostomy (PEG) in children. In 1992 - 1998 PEG and/or a so-called gastrostomic „button“ was introduced to 12 children age 0.6 - 15.5 years and the period of insertion was 2 months - 4.08 years, mean 1.43 years. In 10 children the indication for the procedure were impaired deglutition associated with cerebral palsy, foetal alcoholic syndrome, Smith-Lemli-Opitz syndrome, viral encep- halitis, posthypoxic encephalopathy and in two instances the necessity of nutritional support of children with cystic fibrosis. The introduction of PEG was complicated 5 times by vomiting, twice by granulations in the wound and once by a yeast infection and in one instance after discontinued nutrition obliteration of the gastrostomic canal did not occur. Antireflux plastic operations were performed in one child before introduction of gastrostomy and once after introduction of PEG after vomiting. Into the tube preparations for enteral nutrition were introduced as well as a mixed diet. In subjective evaluations of the method by parents or staff in 90% satisfaction was expressed. One mother of a child with CF was not satisfied with treatment. The problem is absence of a system ensuring at an organizational level domicilary care.

        Key words: percutaneous endoscopic gastrostomy in children, impaired deglutition, cystic fibrosis