1998
DOI: 10.1093/ageing/27.6.671
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Long-term outcome of percutaneous endoscopic gastrostomy feeding in patients with dysphagic stroke

Abstract: PEG feeding is safe and well tolerated in patients with dysphagic stroke. Early PEG placement (within 2 weeks) is worthwhile with many going on to have long-term feeding. Although overall mortality is high, some patients have a long-term survival and a few attain a reasonable level of function in daily living activities. Late recovery of swallow occurs and patients should have follow-up swallowing assessment.

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Cited by 120 publications
(60 citation statements)
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“…Although this is a small cohort of patients observed for only 6 months, it is representatives of the conditions for which gastrostomies are inserted and consistent with previously published literature (Elia, 1995;Howard et al, 1995;L'Estrange, 1997;Parker et al, 1996a;McNamara et al, 2000). James et al (1998) retrospectively reviewed the longterm outcomes of patients with dysphagic stroke who have a gastrostomy inserted. They noted that aspiration pneumonia was the commonest complication affecting 18% of their cohort.…”
Section: Discussionsupporting
confidence: 79%
“…Although this is a small cohort of patients observed for only 6 months, it is representatives of the conditions for which gastrostomies are inserted and consistent with previously published literature (Elia, 1995;Howard et al, 1995;L'Estrange, 1997;Parker et al, 1996a;McNamara et al, 2000). James et al (1998) retrospectively reviewed the longterm outcomes of patients with dysphagic stroke who have a gastrostomy inserted. They noted that aspiration pneumonia was the commonest complication affecting 18% of their cohort.…”
Section: Discussionsupporting
confidence: 79%
“…Overall, this particular bounce-back group was sicker with higher comorbidity burden and greater numbers of gastrostomy tubes. Gastrostomy tubes have high aspiration pneumonia complication rates (James, Kapur & Hawthorne, 1998). The high rate of gastrostomy tube use in the one bounce-back and died group likely at least partially accounts for the significant percentage of rehospitalizations for aspiration pneumonitis/infections in this particular group.…”
Section: Discussionmentioning
confidence: 98%
“…922 Placement of a percutaneous endoscopic gastrostomy (PEG) tube is performed to treat patients who will need prolonged tube feedings. 923 Although this device usually requires less care, complications, including involuntary removal of the tube or peritonitis, may occur. 924 The risk of aspiration pneumonia is not eliminated by the use of an NG or PEG tube.…”
Section: Nutrition and Hydrationmentioning
confidence: 99%