Ethical and medicolegal aspects of PEG-tube placement and provision of artificial nutritional therapy

DeLegge, Mark H.; McClave, Stephen A.; DiSario, James A.; Baskin, William N.; Brown, Russel D.; Fang, John C.; Ginsberg, Gregory G.

doi:10.1016/j.gie.2005.08.024

Cited by 49 publications

(33 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Management of decisions should arise from clear determination of overall goals of care which should incorporate cultural, personal, family and religious beliefs. Furthermore the overall and potential gain from this procedure, careful monitoring of the PEG tube care and checking feeding position and feeds used through this tube in regular intervals bear vital importance [49,50].…”

Section: Discussionmentioning

confidence: 99%

Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A retrospective study

Ermış

Özel

Öncü

et al. 2012

Wien Klin Wochenschr

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A retrospective study

Ermış

Özel

Öncü

et al. 2012

Wien Klin Wochenschr

View full text Add to dashboard Cite

show abstract

“…Furthermore the overall and potential gain through this procedure needs careful monitoring and types of feeds used through this tube should be assessed on a regular interval [28]. Management decisions should arise from clear determination of overall goals of care which should incorporate cultural, personal, family, spiritual and religious beliefs [28,30]. …”

Section: Discussionmentioning

confidence: 99%

Acceptability and outcomes of the Percutaneous Endoscopic Gastrostomy (PEG) tube placement- patients' and care givers' perspectives

et al. 2006

View full text Add to dashboard Cite

BackgroundPercutaneous endoscopic gastrostomy tube has now become a preferred option for the long-term nutritional support device for patients with dysphagia. There is a considerable debate about the health issues related to the quality of life of these patients. Our aim of the study was to assess the outcome and perspectives of patients/care givers, about the acceptability of percutaneous endoscopic gastrostomy tube placement.MethodsThis descriptive analytic study conducted in patients, who have undergone percutaneous endoscopic gastrostomy tube placement during January 1998 till December 2004. Medical records of these patients were evaluated for their demographic characteristics, underlying diagnosis, indications and complications. Telephonic interviews were conducted till March 2005, on a pre-tested questionnaire to address psychological, social and physical performance status, of the health related quality of life issues.ResultsA total of 191 patients' medical records were reviewed, 120 (63%) were males, and mean age was 63 years. Early complication was infection at PEG tube site in 6 (3%) patients. In follow up over 365 ± 149 days, late complications (occurring 72 hours later) were infection at PEG tube site in 29 (15 %) patient and dislodgment/blockage of the tube in 26 (13.6%). Interviews were possible with 126 patients/caretakers. Karnofsky Performance Score of 0, 1, 2, 3 and 4 was found in 13(10%), 18(14%), 21(17%), 29(23%) and 45(36%) with p-value < 0.001. Regarding the social and psychological aspects; 76(60%) would like to have the PEG tube again if required, 105(83 %) felt ease in feeding, and 76(60%) felt that PEG-tube helped in prolonging the survival. Regarding negative opinions; 49(39 %) felt that the feeding was too frequent, 45(36 %) felt apprehensive about dependency for feeding and 62(49%) were concerned about an increase in the cost of care.ConclusionPEG-tube placement was found to be relatively free from serious immediate and long- term complications. Majority of caregivers and patient felt that PEG-tube helped in feeding and prolonging the survival. Studies are needed to assess the real benefit in terms of actual nutritional gain and quality of life in such patients.

show abstract

“…70 For a more detailed and thorough review of the ethical and medicolegal aspects of PEG placement, the reader is referred to the ASGE Task Force on Enteral Nutrition document. 71 Recommendations for PEG placement should be individualized with consideration given to quality of life and prospects for recovery. Some authors have proposed criteria to assist in the decision-making process regarding feeding tube placement.…”

Section: Ethical Considerationsmentioning

confidence: 99%

The role of endoscopy in enteral feeding

Jain¹,

Maple²,

Anderson³

et al. 2011

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

Ethical and medicolegal aspects of PEG-tube placement and provision of artificial nutritional therapy

Cited by 49 publications

References 39 publications

Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A retrospective study

Indications, complications and long-term follow-up of patients undergoing percutaneous endoscopic gastrostomy: A retrospective study

Acceptability and outcomes of the Percutaneous Endoscopic Gastrostomy (PEG) tube placement- patients' and care givers' perspectives

The role of endoscopy in enteral feeding

Contact Info

Product

Resources

About