addition, the time from referral to insertion increased significantly across these periods (p<0.01). In the later part of 2011 an increase in referrals and appropriate insertions was observeddwithout a concomitant rise in complications. Conclusion Introduction of a "virtual" team for PEG assessment reduced the number of procedures required (freeing time for other endoscopic procedures), and post-insertion complications. There was a non-significant trend for improved 30-day mortality. A "minimal input" approach to PEG assessment based on a detailed referral form is therefore feasible, safe and associated with significantly reduced rates of post-procedure morbidity.
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