title: [Significance of percutaneous endoscopic gastrostomy (PEG) in home medical care].
abstract: In recent years, reflecting our aging society, the importance of home medical care has been recognized in view of medical economic and patients' needs. We are actively responding to this trend by positioning home medical care as a "new comprehensive medical care" and by organizing home medical care team. Percutaneous endoscopic gastrostomy (PEG) was developed by Ponsky et al. in 1980. While it has been widespread in Europe and America, it has not been much used in Japan yet. PEG does not require complicated hand skills. It is less invasive and sufficiently applicable to severe cases. Also, since the nursing management is easy, it can be carried out at home. It is an enteral feeding method with superb features as described earlier, in view of home medical care that attaches importance to the quality of life (QOL). In this research, we investigated hand skills for PEG and problems with PEG nutrition. Also, we referred to new possibilities for PEG in home medical care. The success of home medical care will depend on the introduction of PEG, which plays a key role in home medical care.
authors.affiliation: Dept. of Surgery, Hokota Hospital.
authors.forename: H
authors.initials: H
authors.lastname: Yokota
authors.forename: H
authors.initials: H
authors.lastname: Kobayashi
authors.forename: T
authors.initials: T
authors.lastname: Yamasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Okumura
authors.forename: Y
authors.initials: Y
authors.lastname: Kamiyama
authors.forename: M
authors.initials: M
authors.lastname: Shiraishi
authors.forename: Y
authors.initials: Y
authors.lastname: Tsuda
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005773:Gastroscopy; D005774:Gastrostomy / Q000379:methods*; D018575:Home Care Services, Hospital-Based; D006801:Humans; D008297:Male; D011788:Quality of Life