Percutaneous endoscopic gastrostomy in the dementia patient: Helpful or hindering?

American Journal of Gastroenterology

Volumn 103, Issue 4, 2008, Pages 1018-1020

  Delegge, Mark H ^a  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ARTIFICIAL FEEDING; DEMENTIA; DYSPHAGIA; HUMAN; NUTRITIONAL SUPPORT; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; PRIORITY JOURNAL; STOMACH INTUBATION; STOMACH TUBE; SURVIVAL; SURVIVAL RATE;

AGED; DEMENTIA; ENDOSCOPY, GASTROINTESTINAL; FEMALE; GASTROSTOMY; HUMANS; MALE; PROGNOSIS; RISK FACTORS; SURVIVAL RATE;

EID: 41849132462     PISSN: 00029270     EISSN: 15720241     Source Type: Journal    
DOI: 10.1111/j.1572-0241.2007.01701.x     Document Type: Article

References (21)

1. Hendrie HC. Epidemiology of dementia and Alzheimer's disease. Am J Geriatr Psychiatry 1998 6 : S3 18.
2. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: A percutaneous endoscopic technique. J Pediatr Surg 1980 15 : 872 5.
3. Reimer SL, Michener WM, Steiger E. Nutritional support of the critically ill child. Pediatr Clin North Am 1980 27 : 647 60.
4. Roche V. Percutaneous endosopic gastrostomy: Clinical care of PEG tubes in older adults. Geriatrics 2003 58 : 22 9.
5. Grant MD, Rudberg MA, Brody JA. Gastrostomy placement and mortality among hospitalized Medicare beneficiaries. JAMA 1998 279 : 1973 6.
6. Madan AK, Batra AK. Percutaneous endoscopic gastrostomy in the elderly: Complications (review). J Nutr Elder 1996 15 : 39 49.
7. Shega JW, Hougham GW, Stocking CB, et al. Barriers to limiting the practice of feeding tube placement in advanced dementia. J Palliat Med 2003 6 : 885 93.
8. Garrow D, Pride P, Moran M, et al. Feeding alternatives in dementia: Examining the evidence. Clin Gastroenterol Hepatol 2007 in press FA, Bryan L, Farber S. To PEG or not to PEG: A review of evidence for placing feeding tubes in advanced dementia and the decision-making process. Geriatrics 2006 61 : 30 5.
9. Dharmarajan TS, Unnikrishnan D, Pitchumoni CS. Percutaneous endoscopic gastrostomy and outcome in dementia. Am J Gastroenterol 2001 96 : 2556 63.
10. Finucane TE, Christmas C, Travis K. Tube feeding in patients with advanced dementia: A review of the evidence. JAMA 1999 282 : 1365 70.
11. Li I. Feeding tubes in patients with severe dementia. Am Fam Physician 2002 65 : 1605 10.
12. Murphy LM, Lipman TO. Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia. Arch Intern Med 2003 163 : 1351 3, erratum in: Arch Intern Med 2003;163:2397.
13. van Rosendaal G, Verhoef, MJ, Kinsella TD. How are decisions made about the use of percutaneous endoscopic gastrostomy for long-term nutritional support? Am J Gastroenterol 1999 94 : 3225 8.
14. Solomon MZ, O'Donnell L, Jennings B, et al. Decisions near the end of life: Professional views on life-sustaining treatments. Am J Public Health 1993 83 : 14 23.
15. Higaki F, Yokota O, Ohishi O. Factors predictive of survival after percutaneous endoscopic gastrostomy in the elderly: Is dementia really a risk factor. Am J Gastroenterol 2007.
16. Cowen ME, Simpson SL, Vettese TE. Survival estimates for patients with abnormal swallowing studies. J Gen Intern Med 1997 12 : 88 94.
17. American Psychiatric Association Diagnostic and statistical manual of mental disorders, 3rd Ed. revised (DSM -3-R). Washington, DC : American Psychiatric Association, 1987.
18. McCann RM, Hall WJ, Groth-Juncker A. Comfort care for terminally ill patients. The appropriate use of nutrition and hydration. JAMA 1994 272 : 1263 6.
19. Vullo-Navich K, Smith S, Andrews M, et al. Comfort and incidence of abnormal serum sodium, BUN, creatinine and osmolality in dehydration of terminal illness. Am J Hosp Palliat Care 1998 15 : 77 84.
20. Brett AS, Jerslid P. "Inappropriate" treatment near the end of life: Conflict between religious convictions and clinical judgement. Arch Intern Med 2003 163 : 1645 9.
21. Meier DE, Ahronheim JC, Morris J, et al. High short-term mortality in hospitalized patients with advanced dementia: Lack of benefit of tube feeding. Arch Intern Med 2001 161 : 594 9.