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Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy?
Percutaneous endoscopic gastrostomy is an established method to provide nutrition to patients with restricted oral uptake of fluids and calories. Here, we review the methods, indications and complications of this procedure. While gastrostomy can be safely and easily performed during gastroscopy, the...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265142/ https://www.ncbi.nlm.nih.gov/pubmed/32523304 http://dx.doi.org/10.3748/wjg.v26.i20.2464 |
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author | Dietrich, Christoph G Schoppmeyer, Konrad |
author_facet | Dietrich, Christoph G Schoppmeyer, Konrad |
author_sort | Dietrich, Christoph G |
collection | PubMed |
description | Percutaneous endoscopic gastrostomy is an established method to provide nutrition to patients with restricted oral uptake of fluids and calories. Here, we review the methods, indications and complications of this procedure. While gastrostomy can be safely and easily performed during gastroscopy, the right patients and timing for this intervention are not always chosen. Especially in patients with dementia, the indication for and timing of gastrostomies are often improper. In this patient group, clear data for enteral nutrition are lacking; however, some evidence suggests that patients with advanced dementia do not benefit, whereas patients with mild to moderate dementia might benefit from early enteral nutrition. Additionally, other patient groups with temporary or permanent restriction of oral uptake might be a useful target population for early enteral nutrition to maintain mobilization and muscle strength. We plead for a coordinated study program for these patient groups to identify suitable patients and the best timing for tube implantation. |
format | Online Article Text |
id | pubmed-7265142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-72651422020-06-09 Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? Dietrich, Christoph G Schoppmeyer, Konrad World J Gastroenterol Opinion Review Percutaneous endoscopic gastrostomy is an established method to provide nutrition to patients with restricted oral uptake of fluids and calories. Here, we review the methods, indications and complications of this procedure. While gastrostomy can be safely and easily performed during gastroscopy, the right patients and timing for this intervention are not always chosen. Especially in patients with dementia, the indication for and timing of gastrostomies are often improper. In this patient group, clear data for enteral nutrition are lacking; however, some evidence suggests that patients with advanced dementia do not benefit, whereas patients with mild to moderate dementia might benefit from early enteral nutrition. Additionally, other patient groups with temporary or permanent restriction of oral uptake might be a useful target population for early enteral nutrition to maintain mobilization and muscle strength. We plead for a coordinated study program for these patient groups to identify suitable patients and the best timing for tube implantation. Baishideng Publishing Group Inc 2020-05-28 2020-05-28 /pmc/articles/PMC7265142/ /pubmed/32523304 http://dx.doi.org/10.3748/wjg.v26.i20.2464 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Opinion Review Dietrich, Christoph G Schoppmeyer, Konrad Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? |
title | Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? |
title_full | Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? |
title_fullStr | Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? |
title_full_unstemmed | Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? |
title_short | Percutaneous endoscopic gastrostomy – Too often? Too late? Who are the right patients for gastrostomy? |
title_sort | percutaneous endoscopic gastrostomy – too often? too late? who are the right patients for gastrostomy? |
topic | Opinion Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265142/ https://www.ncbi.nlm.nih.gov/pubmed/32523304 http://dx.doi.org/10.3748/wjg.v26.i20.2464 |
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