Use of gastrostomy feeding tube detrimental to dementia patients

Use of gastrostomy feeding tube detrimental to dementia patients

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Percutaneous endoscopic gastrostomy (PEG) tube placement in patients with dementia appears to be associated with shorter time to death, neither reducing rehospitalisation rate nor mortality in both the short and long term compared with feeding tube placement in patients with other neurological diseases or head or neck malignancy, a study has shown.
24 Sep 2016 - General
Percutaneous endoscopic gastrotomy (PEG) is reserved for patients who are on nasogastric tube (NGT) feeding for more than 4 weeks and still cannot feed themselves or at risk for aspiration. This cut-off is based on the following reasons: 1.) risk for aspiration - an intact gag reflex does not exclude one from aspiration or does the presence of NGT. Food and secretions can still reflux outside the tube into the airways. 2.) mucosal irritation, infection risk, and agitation - The longer the NGT st...
 (Total 194 words)
Percutaneous endoscopic gastrostomy (PEG) insertion for feeding purpose is never a good idea for the cohort of patient with advanced dementia. PEG insertion is an invasive intervention endoscopic procedure, that has its own risk. Complications can occur during PEG insertion and after the procedure itself. Hence, thorough selection of patients, weighing through the risk and benefit profile is very important when subjecting patients to PEG insertion. This study has shown that PEG insertion does ...
 (Total 114 words)