RT Journal Article
SR Electronic
T1 Cui bono? PEG feeding
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP e2
OP e4
DO 10.7861/clinmed.2020-0759
VO 21
IS 1
A1 Heather Parr
A1 David S Sanders
YR 2021
UL http://www.rcpjournals.org/content/21/1/e2.abstract
AB Percutaneous endoscopic gastrostomy (PEG) provides long-term nutritional support to those unable to tolerate intake orally. The benefits of a PEG depend on the indication and the individual, and are considered when it has the potential to improve mortality, nutritional status or quality of life. Often, family members and healthcare professionals have to act on behalf of the patient. It is difficult for their personal values and emotions to not be a factor when deciding if to proceed with a PEG. This may result in unnecessary PEG placement. For certain indications (dementia for example), there is limited evidence of any benefits a PEG may give and may actually cause harm. Guidance to improve patient selection and increase education for healthcare professionals is essential in achieving the best outcome for the patient.