Top

Published in:

01-03-2005 | Original article

Ethical challenges of percutaneous endoscopic gastrostomy

Authors: L. Morgenstern, M. Laquer, L. Treyzon

Published in: Surgical Endoscopy | Issue 3/2005

Abstract

Percutaneous endoscopic gastrostomy (PEG) is a widely used procedure for patients who cannot swallow. Athough it is mostly performed for valid indications, its use in terminally ill patients is questionable. In this study, more than 30% of patients died in hospital after PEG placement and 16% died less than 30 days after placement. Strict guidelines and oversight or PEG placement are recommended.

Ackerman TF1996The moral implications of medical uncertainty: tube feeding demented patients (editorials)J Am Geriatr Soc4412651267

AGA guideline: Enteral nutrition (1994) UpToDate Online 10.3. Retrieved at http://www.uptodate.com, Access Date: February 13, 2003

Angus, F, Burakoff, R 2003The percutaneous endoscopic gastrostomy tube: medical and ethical issues in placementAm J Gastroenterol98272277PubMed

Brett, AS, Rosenberg, JC 2001The adequacy of informed consent for placement of gastrostomy tubesArch Intern Med161745748CrossRefPubMed

Callahan, CM, Haag, KM, Buchanan, NN, Nisi, R 1999Decision making for percutaneous endoscopic gastrostomy among older adults in a community settingJ Am Geriat Soc4711051109PubMed

Easson, AM, Hinshaw, DB, Johnson, DL 2002The role of tube feeding and total parenteral nutrition in advanced illnessJ Am Coll Surg194225228CrossRefPubMed

Finucane, TE, Christmas, C, Travis, K 1999Tube feeding in patients with advanced dementia: a review of the evidence (special communication)JAMA28213651370CrossRefPubMed

Gauderer, M 1999Twenty years of percutaneous endoscopic gastrostomy: origin and evolution of a concept and its expanded applications (editorials)Gastrointest Endosc50882

Gauderer, MWL, Ponsky, JL, Izant, RJ,Jr 1980Gastrostomy without laparotomy: a percutaneous endoscopic techniqueJ Pediatr Surg15872875PubMed

10.

Gillick, MR 2000Rethinking the role of tube feeding in patients with advanced dementia (sounding board)N Engl J Med342206210CrossRefPubMed

11.

Grant, MD, Rudberg, MA, Brody, JA 1998Gastrostomy placement and mortality among hospitalized medicare beneficiaries (original contributions)JAMA27919731976CrossRefPubMed

12.

Larson, DE, Burton, DD, Schroeder, KW, DiMagno, EP 1987Percutaneous endoscopic gastrostomy: indications, success, complications, and mortality in 314 consecutive patientsGastroenterology934852PubMed

13.

Mackie, SB 2001PEGs and ethics (features)Gastroenterol Nurs24138142CrossRefPubMed

14.

Marik, PE 2001Aspiration pneumonitis and aspiration pneumoniaN Engl J Med344665671CrossRefPubMed

15.

Mitchell, SL, Lawson, FM 1999Decision making for long-term tube feeding in cognitively impaired elderly people (evidence)Can Med Assoc J16017051709

16.

Ponsky, JL, Gauderer, MWL 1981Percutaneous endoscopic gastrostomy: a nonoperative technique for feeding gastrostomyGastrointest Endosc27911PubMed

17.

Post, SG 1995The moral challenge of Alzheimer disease: ethical issues from diagnosis to dyingJohn Hopkins University PressBaltimore, MD

18.

Rabeneck, L, McCullough, LB, Wray, NP 1997Ethically justified, clinically comprehensive guidelines for percutaneous endoscopic gastrostomy tube placementLancet349496498CrossRefPubMed

19.

Rabeneck, L, Wray, NP, Petersen, NJ 1996Long-term outcomes of patients receiving percutaneous endoscopic gastrostomy tubesJ Gen Intern Med11287293PubMed

20.

Rosendaal, GMA, Verhoef, MJ, Kinsella, TD 1999How are decisions made about the use of percutaneous endoscopic gastrostomy for long-term nutritional support?Am J Gastroenterol9432253228CrossRefPubMed

21.

Wolfsen, HC, Kozarek, RA 1992Percutaneous endoscopic gastrostomy: ethical considerationsGastrointest Endosc Clin North Am2259271

Title: Ethical challenges of percutaneous endoscopic gastrostomy
Authors: L. Morgenstern
M. Laquer
L. Treyzon
Publication date: 01-03-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 3/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-8109-5

At a glance: The STEP trials

Springer Medicine

Ethical challenges of percutaneous endoscopic gastrostomy

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2005

Effect of carbon dioxide pneumoperitoneum and wound closure technique on port site tumor implantation in a rat model

Effect of fixation of shoulder and elbow joint movement on the precision of laparoscopic instrument manipulations

The impact of a laparoscopic colorectal surgeon on the laparoscopic colectomy experience of a single academic center

Minilaparotomy approach for colonic cancer: initial experience of 54 cases

Laparoscopic hand-assisted versus open transhiatal esophagectomy: a case-control study

Laparoscopic versus open total mesorectal excision for rectal cancer: An evaluation of the mesorectum’s macroscopic quality