Percutaneous endoscopic gastrostomy in geriatrics. Indications, technique and complications

被引:1
作者
Wirth, Rainer [1 ]
机构
[1] Ruhr Univ Bochum, Univ Klinikum, Marien Hosp Herne, Klin Altersmed & Fruhrehabilitat, Holkeskampring 40, D-44625 Herne, Germany
来源
ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE | 2018年 / 51卷 / 02期
关键词
Geriatrics; Malnutrition; Tube feeding; Dementia; Mortality; ESPEN GUIDELINES; TUBE INSERTION; ENTERAL NUTRITION; DEMENTIA; OBSTRUCTION; PLACEMENT; SURVIVAL; PEG;
D O I
10.1007/s00391-017-1363-7
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The technique of percutaneous endoscopic gastrostomy (PEG) was introduced in 1979 as a semi-invasive approach for children with the need for a gastric fistula in order to avoid an operative intervention. The suture pull-through method was rapidly established and is now omnipresent. Because scientific evidence is broadly missing, there is some uncertainty about the indications in geriatric medicine. Guidelines do not recommend the insertion of a PEG in patients with severe dementia and malnutrition. Tube feeding is mainly recommended as a temporary method for patients who cannot take oral nutrition for more than 3 days or for whom the energy intake for more than 10 days presumably covers less than 50% of their needs, assuming that the overall prognosis is reasonable. Insertion of a PEG is only recommended if artificial nutrition is expected to be necessary for more than 3-4 weeks or if a nasogastric tube is not tolerated.
引用
收藏
页码:237 / 245
页数:9
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