%0 Journal Article %A David S Sanders %A Alan J Anderson %A KD Bardhan %T Percutaneous endoscopic gastrostomy: an effective strategy for gastrostomy feeding in patients with dementia %D 2004 %R 10.7861/clinmedicine.4-3-235 %J Clinical Medicine %P 235-241 %V 4 %N 3 %X 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. %U https://www.rcpjournals.org/content/clinmedicine/4/3/235.full.pdf