Percutaneous endoscopic gastrostomy.
Percutaneous endoscopic gastrostomy (PEG) is now the technique of choice for patients requiring long-term enteral feeding. It is a good method for feeding patients with neurological dysphagia and can safely be kept in situ for long periods. PEG feeding requires a multidisciplinary approach, involving doctors, nurses, pharmacists, speech therapists, dieticians and carers. The insertion of a PEG, which requires two operators and two endoscopy nurses, is described in full. Feeding can commence after a few hours. Various types of feed and feed-ing patterns are described and their relative merits discussed. Although psychological problems may occur following PEG insertion, the procedure is usually well accepted by patients.
Hussain
A
A
Medicine for the Elderly and General Medicine, Guy's Hospital, London, UK.
Woolfrey
S
S
Massey
J
J
Geddes
A
A
Cox
J
J
D000075202:Contraindications; D003680:Deglutition Disorders / Q000523:psychology / Q000628:therapy; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods*; D005526:Food, Formulated / Q000032:analysis; D005774:Gastrostomy / Q000379:methods*; D006801:Humans