Usefulness and Problems of Percutaneous Endoscopic Gastrostomy in a Geriatric Hospital.

Kanie, Jiro; Kono, Kazuhiko; Yamamoto, Takayuki; Akatsu, H.; Shimokata, Hiroshi; Iguchi, Akihisa

doi:10.3143/geriatrics.35.543

Cited by 9 publications

(6 citation statements)

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“…The use of physical restraint was not necessary in any patient with PEG inserted directly without the need for prior NTF, and 82% of patients requiring restraint (for NTF) no longer needed it after PEG placement. In other series, physical restraint was reduced or withdrawn in 65.2% of patients after PEG tube placement 13 . In our study, PEG technique solved two problems; it led to better overall care of older patients with dementia, and it provided adequate nutritional support, improving patients' quality of life.…”

Section: Tsd Years* Ntf† Pr‡ Prpeg§ Days‖ Rdrs‐2 Score Death¶mentioning

confidence: 59%

Percutaneous Endoscopic Gastrotomy: Better than Nasoenteric Tube?

Fernández-Viadero

Sarabia

Sainz

et al. 2002

J American Geriatrics Society

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Section: Tsd Years* Ntf† Pr‡ Prpeg§ Days‖ Rdrs‐2 Score Death¶mentioning

confidence: 59%

Percutaneous Endoscopic Gastrotomy: Better than Nasoenteric Tube?

Fernández-Viadero

Sarabia

Sainz

et al. 2002

J American Geriatrics Society

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“…Just as Kanie et al . investigated and were able to report an improvement of the quality of life of patients after PEG, 17 we should make more of an effort to clarify the effects on patients of enteral nutrition, including PEG, with a view to determining not only their prognosis of life expectancy but also their functional prognosis and their quality of life.…”

Section: Discussionmentioning

confidence: 99%

Long‐term prognosis and satisfaction after percutaneous endoscopic gastrostomy in a general hospital*

Onishi¹,

Masuda²,

Kuzuya³

et al. 2004

Geriatrics Gerontology Int

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Background: Percutaneous endoscopic gastrostomy (PEG) has been widely acknowledged as a safer method for enteral feeding; however, its long-term impact on prognosis and quality of life in elderly patients is not sufficiently understood. There are issues still to be studied regarding the indications for PEG, due to the lack of convincing evidence that it reduces expected complications such as aspiration pneumonia or for improving the prognosis of patients with severe dementia. Method:In this study we investigated the survival rate after PEG and the families' satisfaction in 78 inpatients who underwent PEG. We conducted the investigation by sending questionnaires to the families. Results:The results for the 69 cases (88%) in which the patient recovered showed that the 1-year survival rate was 64.0%, and the 2-year survival rate was 55.5%. Fifty-three per cent of patients' families indicated overall satisfaction regarding of PEG. Conclusions:The survival rates were relatively higher than those from previously reported studies. This may be attributed to variations in patients' clinical, socio-economic, or cultural backgrounds in therapeutic interventions. We recognized the importance of clarifying factors that would affect the living and functional prognosis and quality of life in elderly patients who underwent PEG. The indications for PEG are based on a comprehensive assessment of the relevant factors in individual cases, and by taking patients' and families' wishes into consideration.

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“…An increase in vomiting is one of the most common complications [4]. GER is clinically manifested by recurrent vomiting or aspiration.…”

Section: Discussionmentioning

confidence: 99%

Prevention of Late Complications by Half-Solid Enteral Nutrients in Percutaneous Endoscopic Gastrostomy Tube Feeding

et al. 2004

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Background: Percutaneous endoscopic gastrostomy feeding is accompanied by unique complications, which are not easily controlled. Objective: In an attempt to decrease complications, we used half-solid nutrients for percutaneous endoscopic gastrostomy feeding in an 85-year-old woman. The patient had been receiving enteral nutrients via percutaneous endoscopic gastrostomy, and we examined whether this approach can reduce complications. She presented with regurgitation of enteral nutrients and recurrent respiratory infections. Methods: Half-solid enteral nutrients, prepared by mixing liquid enteral nutrients with agar powder, were administered via percutaneous endoscopic gastrostomy. Results: Symptoms of gastroesophageal reflux disappeared immediately after the start of half-solid enteral nutrient feeding. Conclusion: Gastroesophageal reflux and leakage, two intractable late complications of percutaneous endoscopic gastrostomy tube feeding, can be alleviated by the solidification of enteral nutrients. Since this method allows quick administration of nutrients, it is also expected to help prevent the occurrence of decubitus ulcers and reduce the burden to the caregiver.

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Usefulness and Problems of Percutaneous Endoscopic Gastrostomy in a Geriatric Hospital.

Cited by 9 publications

References 0 publications

Percutaneous Endoscopic Gastrotomy: Better than Nasoenteric Tube?

Percutaneous Endoscopic Gastrotomy: Better than Nasoenteric Tube?

Long‐term prognosis and satisfaction after percutaneous endoscopic gastrostomy in a general hospital*

Prevention of Late Complications by Half-Solid Enteral Nutrients in Percutaneous Endoscopic Gastrostomy Tube Feeding

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