International Survey of Physicians’ Perspectives on Percutaneous Endoscopic Gastrostomy Tube Feeding in Patients with Dementia and Review of Literature

Mohandas, Naveen; Kumar, Raghu; Leelakrishnan, Venkatakrishnan; Sharma, Sudeep; Aparanji, Krishna

doi:10.7759/cureus.4578

Cited by 4 publications

(3 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This reflects the growing recognition of the importance and benefits of PEG feeding among Egyptian neurologists, as we mentioned lately. This experience is globally adopted by neurologists and has been studied in some other studies over the last 20 years [17,18,22,26,28]. Similarly, they reported a very satisfactory experience to the caregivers in over half (52.3%) of the cases they referred to perform PEG.…”

Section: Discussionmentioning

confidence: 71%

“…Out of total 174 responses, 53.5% attributed to either family resistance or financial reasons as the main barrier against performing PEG to the indicated patients. A recent international study in 2019 revealed a relatively higher percentage regarding these barriers reaching more than 75% of the cases [22]. The family usually goes against PEG for the mistaken idea about the PEG feeding is burdensome or even dangerous to apply, fearing of the surgical procedure itself, or the inability to handle and provide proper care, or altering body image [23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Attitude and experience of neurologists towards percutaneous endoscopic gastrostomy: an Egyptian study

Farag

Georgy

Fathy

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

View full text Add to dashboard Cite

Background Dysphagia is a common symptom among various neurological diseases. Guidelines recommend gastrostomy insertion for prolonged dysphagia with lower rate of intervention failure encountered with percutaneous endoscopic gastrostomy (PEG) as compared to nasogastric tube insertion. Methods Neurology consultants only were included and completed a self-administered questionnaire concerning their practice backgrounds and previous experience with PEG feeding during their practice. Results Ninety-eight percent stated that they would recommend PEG for patients with prolonged need of nasogastric feeding. However, only 88% actually referred patients to perform PEG, with the cerebrovascular disorders being the most common cases to be referred. The main barriers the surveyed neurologists faced were family resistance and financial reasons (53.5%). Interestingly, younger neurologists practicing for less than 15 years referred patient to perform PEG significantly more frequent than older ones (p = 0.01). About 18% of our sample confirmed the lack of sufficient knowledge about the benefits of PEG feeding, and only 22% previously attended scientific sessions about the benefits and indications of PEG. Conclusion Based on our study, we recommend that PEG should be more encouraged in indicated neurological cases. Scientific sessions targeting neurologists and public awareness about the benefits of PEG and its relatively infrequent complications are highly demanded.

show abstract

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Attitude and experience of neurologists towards percutaneous endoscopic gastrostomy: an Egyptian study

Farag

Georgy

Fathy

et al. 2020

Egypt J Neurol Psychiatry Neurosurg

View full text Add to dashboard Cite

show abstract

“…It is unknown at this time if this is a result of cultural differences, disparities in health care access, or discrepancies in physician communication. Physician misperceptions regarding the utility of PEG tubes are also often a contributing factor to the overuse of PEG tubes in patients with dementia despite evidence to the contrary (49,50).…”

Section: Dementiamentioning

confidence: 99%

An overview of percutaneous endoscopic gastrostomy tube placement in the intensive care unit

Wei¹,

Ho²,

Hegde³

2021

J Thorac Dis

View full text Add to dashboard Cite

Critically ill patients are at increased risk for malnutrition as they often have underlying acute and chronic illness, stress related catabolism, decreased appetite, trauma and ongoing inflammation. Malnutrition is recognized as a leading cause of adverse outcomes, higher mortality, and increased hospital costs. Percutaneous endoscopic gastrostomy (PEG) tubes provide a safe and effective route to provide supplemental enteral nutrition to these patients. PEG placement has essentially replaced surgical gastrostomy as the modality of choice for longer term feeding in patients. This is a highly prevalent procedure with 160,000 to 200,000 PEG procedures performed each year in the United States. The purpose of this review is to provide an overview of current knowledge and practice standards with regards to placement of PEG tube in the Intensive Care Unit (ICU). When a patient is considered for a PEG tube, it is important to evaluate the treatment alternatives and identify the best option for each patient. In this review, we provide the advantages and disadvantages of various feeding modalities and devices. We review the indications and contraindications for PEG tube placement as well as the risks of this procedure. We then describe in detail the per-oral pull, per-oral push, and direct percutaneous techniques for PEG tube placement. Additionally, we review the feasibility of having interventional pulmonologists place PEG tubes in the ICU.

show abstract

Percutaneous Endoscopic Gastrostomy in Dementia: Expectations, Outcomes, and Ethical Aspects

Dharmarajan¹,

Aparanji²,

Pitchumoni³

2021

Geriatric Gastroenterology

View full text Add to dashboard Cite

International Survey of Physicians’ Perspectives on Percutaneous Endoscopic Gastrostomy Tube Feeding in Patients with Dementia and Review of Literature

Cited by 4 publications

References 31 publications

Attitude and experience of neurologists towards percutaneous endoscopic gastrostomy: an Egyptian study

Attitude and experience of neurologists towards percutaneous endoscopic gastrostomy: an Egyptian study

An overview of percutaneous endoscopic gastrostomy tube placement in the intensive care unit

Percutaneous Endoscopic Gastrostomy in Dementia: Expectations, Outcomes, and Ethical Aspects

Contact Info

Product

Resources

About