PT  - JOURNAL ARTICLE
AU  - David S Sanders
AU  - Alan J Anderson
AU  - KD Bardhan
TI  - Percutaneous endoscopic gastrostomy: an effective strategy for gastrostomy feeding in patients with dementia
AID  - 10.7861/clinmedicine.4-3-235
DP  - 2004 May 01
TA  - Clinical Medicine
PG  - 235--241
VI  - 4
IP  - 3
4099  - http://www.rcpjournals.org/content/4/3/235.short
4100  - http://www.rcpjournals.org/content/4/3/235.full
SO  - Clin Med2004 May 01; 4
AB  - 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.