The Effects of Percutaneous Endoscopic Gastrostomy on Quality of Life in Patients With Dementia

Suzuki, Yutaka; Urashima, Mitsuyoshi; Izumi, Masaki; Ito, Yasuhiko; Uchida, Nobuyuki; Okada, Shingo; Ono, Hiromi; Orimo, Satoshi; Kohri, Takayuki; Shigoka, Hiroaki; Sato, Shuzo; Tanaka, Yukiko; Yoshida, Akitoshi; Ijima, Masashi; Ito, Toru; Endo, Takao; Okano, Hitoshi; Maruyama, Michio; Iwase, Tsuyoshi; Kikuchi, Tsutomu; Kudo, Michiaki; Takahashi, Mutsuo; Goshi, Satoshi; Mikami, Tatsuya; Yamashita, Satoyoshi; Akiyama, Kenichi; Ogawa, Tetsushi; Ogawa, Takumi; Ono, Shigeki; Onozawa, Shigeru; Kobayashi, Junya; Matsumoto, Masami; Matsumoto, Toshifumi; Jomoto, Kazuaki; Mizuhara, A; Nishiguchi, Yukio; Nishiwaki, Shinji; Aoki, Masahiko; Ishizuka, Izumi; Kura, Toshiroh; Murakami, Masato; Murakami, Akihiko; Ohta, Takao; Onishi, Kōji; Nakahori, Masato; Tsuji, Takeshi; Tahara, Ko; Tanaka, Ikuta; Kitagawa, Koh; Shimazaki, Makoto; Fujiki, Toshihiro; Kusakabe, Toshiro; Iiri, Takao; Kitahara, Shuichiro; Horiuchi, Akira; Suenaga, Hitoshi; Washizawa, Naohiro; Suzuki, Masahiko

doi:10.4021/gr392w

Cited by 14 publications

(12 citation statements)

References 13 publications

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“…As the Japanese society ages, it is expected that PEG‐constructed patients will age as well. Recently, although clinicians tend to avoid PEG construction for prolonging life among older dementia patients, it has been reported that PEG can be expected to improve the quality of life for mild dementia patients 6 . In the present study, all patients who experienced bleeding after PEG procedure were aged >65 years.…”

Section: Discussionmentioning

confidence: 71%

“…Recently, although clinicians tend to avoid PEG construction for prolonging life among older dementia patients, it has been reported that PEG can be expected to improve the quality of life for mild dementia patients. 6 In the present study, all patients who experienced bleeding after PEG procedure were aged >65 years. Therefore, it is important to clarify the early signs that predict bleeding requiring additional treatment during perioperative periods.…”

Section: Figurementioning

confidence: 85%

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Risk factors for perioperative bleeding in percutaneous endoscopic gastrostomy construction: A case series and retrospective preliminary investigation

Nishida

Hara

et al. 2020

Geriatrics Gerontology Int

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Objectives: Percutaneous endoscopic gastrostomy (PEG) is one of the methods of tube feeding in patients who are incapable of oral intake. There are no reports on risk factors for bleeding at PEG construction. Our main objective was to investigate the risks and predictors of bleeding associated with PEG construction. Methods: This retrospective, observational study included patients who had undergone PEG construction at our institution. To investigate the risks of bleeding associated with PEG construction, we compared the baseline characteristics between bleeding and non-bleeding patients. In terms of early predictors of post-PEG bleeding, we evaluated whether there had been a decrease from baseline of >10% in hemoglobin levels on the day after the procedure. Results: The median preoperative albumin levels were 22.5 g/L (range 20-29 g/L) and 30 g/L (range 18-40 g/L) in the bleeding and non-bleeding groups, respectively (P = 0.014, Mann-Whitney U-test). The median preoperative platelet counts were 177 500 (range 87 000-265 000) and 271 000 (83 000-749 000) in the bleeding and non-bleeding groups, respectively (P = 0.043, Mann-Whitney U-test). The number of patients for whom hemoglobin levels decreased >10% from baseline on the day after the procedure differed significantly between the bleeding and non-bleeding groups (2/4, 50% and 3/58, 5.45%), respectively (P = 0.002, Pearson's χ 2-test). Conclusions: Low serum albumin and preoperative platelet counts might be risk factors for bleeding. Rigorous follow up is necessary for patients showing a decrease in hemoglobin level ≥10% of their baseline the day after the procedure.

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Section: Discussionmentioning

confidence: 71%

Section: Figurementioning

confidence: 85%

Risk factors for perioperative bleeding in percutaneous endoscopic gastrostomy construction: A case series and retrospective preliminary investigation

Nishida

Hara

et al. 2020

Geriatrics Gerontology Int

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“…The following underlying factors might account for the gender distribution of patients: Firstly, the patients with PEG were predominantly female (64%) at the Nishimaruyama Hospital, and the 3:7 (male:female) ratio was close to those reported in other studies. 10) Secondly, the risk factors for poor survival in patients with dementia includes male gender 14) ; thus, more females tended to survive, which may explain the all-female composition our patient population.…”

Section: Discussionmentioning

confidence: 99%

“…Two studies reported the rate of PEG tube removal in Japan as 1.7% and 6.5%, respectively. 10,11) However, no studies have thus far explored patients who resume full oral intake after removal of PEG tubes.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Endoscopic Gastrostomy Tube Removal for Patients With Advanced Dementia: Case Series Study

Hattori

Kojima

Komura

et al. 2019

Ann Geriatr Med Res

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Background Although the notion of percutaneous endoscopic gastrostomy (PEG) tube placement for patients with dementia has been changing, the number of cases of PEG placement remains high as Japan has become a super-aged society. However, there is insufficient research about the clinical course of dementia patients with PEG, especially regarding PEG extubation after regaining full oral intake. This case series aimed to reveal the demographic data of patients who successfully underwent PEG extubation and to identify clinical factors that might help predict eventual resumption. Methods This retrospective case series was identified in a private, community-based long-term care hospital in Sapporo, Japan. Inclusion criteria for the series were: 1) age, ≥75 years, 2) diagnosis of any type of dementia, and 3) resumption of full oral intake after removal of PEG tubes. Results Eight female patients were identified. Decreased oral intake was triggered by acute medical conditions, such as infectious enteritis. A trial of oral intake was initiated mostly by speech therapists. A majority of the patients ate pureed food. The patients aged ≥85 years with advanced dementia could be weaned from PEG tubes. Conclusion The series indicates that even patients with limited life expectancy could recover swallowing function by receiving appropriate guidance and care. Constant evaluation for swallowing function even after PEG insertion may be important for PEG extubation.

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“…Therefore, a safe procedure that can reduce the burden on the patients as much as possible is required [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

http://www.openaccessjournals.com/articles/mesenchymal-stem-cells-in-the-reconstruction-surgery-of-the-supraspinatus-muscle-lesions-12130.html

Kawaura¹,

Itoh²,

Hamada³

et al. 2017

Clinical-Investigation

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The Effects of Percutaneous Endoscopic Gastrostomy on Quality of Life in Patients With Dementia

Cited by 14 publications

References 13 publications

Risk factors for perioperative bleeding in percutaneous endoscopic gastrostomy construction: A case series and retrospective preliminary investigation

Risk factors for perioperative bleeding in percutaneous endoscopic gastrostomy construction: A case series and retrospective preliminary investigation

Percutaneous Endoscopic Gastrostomy Tube Removal for Patients With Advanced Dementia: Case Series Study

http://www.openaccessjournals.com/articles/mesenchymal-stem-cells-in-the-reconstruction-surgery-of-the-supraspinatus-muscle-lesions-12130.html

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