1999
DOI: 10.1016/s0022-510x(99)00230-0
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A retrospective study of percutaneous endoscopic gastrostomy in ALS patients during the BDNF and CNTF trials

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Cited by 129 publications
(77 citation statements)
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“…This service should be provided by a multidisciplinary Nutrition Care Team including nutrition nurses, speech pathologists, gastroenterologists, patients, and caregivers. This team should also be involved in the decision-making process as to whether a percutaneous feeding tube is in the patient's best interest (32). Evidence suggests that complications related to tube feeding are less common in hospitals with a functioning multidisciplinary team (33).…”
Section: Discussionmentioning
confidence: 99%
“…This service should be provided by a multidisciplinary Nutrition Care Team including nutrition nurses, speech pathologists, gastroenterologists, patients, and caregivers. This team should also be involved in the decision-making process as to whether a percutaneous feeding tube is in the patient's best interest (32). Evidence suggests that complications related to tube feeding are less common in hospitals with a functioning multidisciplinary team (33).…”
Section: Discussionmentioning
confidence: 99%
“…is recommended." Although the precise time that PEG tube insertion should occur is unknown, we do know that when FVC declines below 50 percent of predicted, the risk of complications increases significantly [37][38][39]. These complications include respiratory failure requiring permanent ventilation.…”
Section: Early Percutaneous Endoscopic Gastrostomymentioning
confidence: 99%
“…Indicators may include weight loss (5-10% of body weight loss implies nutritional risk (Francis et al, 1999)) and reduced FVC. If FVC falls below 50% of predicted (Kasarskis et al, 1999), risks of largyngeal spasm, localised infection, gastric haemorrhage, technical difficulties of PEG placement and respiratory arrest increase (Mazzini et al, 1995;MathusVliegen et al, 1994)). Sialorrhoea can be a significant issue in ALS and is generally not related to increased saliva production but rather to impaired ability to swallow saliva, combined with facial weakness causing labial incompetence and neck weakness causing the head to tip forward (Francis et al, 1999).…”
Section: Swallowing and Nutritionmentioning
confidence: 99%