Percutaneous endoscopic gastrostomy: an effective strategy for gastrostomy feeding in patients with dementia
David S Sanders, Alan J Anderson and KD Bardhan
DOI: https://doi.org/10.7861/clinmedicine.4-3-235
Clin Med May 2004 David S Sanders
Royal Hallamshire Hospital, Sheffield
MRCP(UK)Alan J Anderson
Royal Hallamshire Hospital, Sheffield
FRCPKD Bardhan
Rotherham District General Hospital
OBE FRCPAbstract
Percutaneous endoscopic gastrostomy (PEG) is an accepted technique for long-term enteral feeding. Its use has increased because of its simplicity and low complication rate. The demands for gastrostomy insertion have risen and now encompass indications where the long-term outcomes are uncertain. Dementia has become one of the commonest indications for gastrostomy feeding. This article reviews the justification for PEG feeding in dementia and suggests a practical approach for this difficult clinical situation. The clinical strategy described in this paper can be applied to other neurodegenerative diseases and provides a framework for improving a PEG service.
- © 2004 Royal College of Physicians
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Percutaneous endoscopic gastrostomy: an effective strategy for gastrostomy feeding in patients with dementia
David S Sanders, Alan J Anderson, KD Bardhan
Clinical Medicine May 2004, 4 (3) 235-241; DOI: 10.7861/clinmedicine.4-3-235
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