scholarly journals Percutaneous endoscopic gastrostomy – the method of choice for long-term enteral nutrition

2014 ◽  
Vol 22 (6) ◽  
pp. 750-754 ◽  
Author(s):  
V.L. Belevich ◽  
◽  
E.Y. Strukov ◽  
A.O. Brednev ◽  
D.V. Ovchinnikov ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

Audit of outcome of long-term enteral nutrition by percutaneous endoscopic gastrostomy

The Lancet ◽  
1993 ◽  
Vol 341 (8849) ◽  
pp. 869-872 ◽  
Author(s):  
M.A. Hull ◽  
J. Rawlings ◽  
J. Field ◽  
S.P. Allison ◽  
F.E. Murray ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

scholarly journals Clinician's Attitude to Enteral Nutrition with Percutaneous Endoscopic Gastrostomy: A Survey in China

2020 ◽  
Author(s):  
Yijie Zhang ◽  
Chen Ma ◽  
Chenxi Li ◽  
Qian Chen ◽  
Meifen Shen ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Medical Decision ◽  
High Agreement ◽  
Potential Barriers ◽  
Endoscopic Gastrostomy ◽  
Feeding Resistance ◽  
Radiotherapy Department ◽  
Insufficient Knowledge

Abstract Background: Percutaneous endoscopic gastrostomy (PEG) are recommended for long-term enteral nutrition. However, long-term nasogastric (NGT) feeding is still commonplace in China. We surveyed Chinese clinicians’ opinions toward PEG feeding in order to identify the potential barriers to acceptancy of PEG feeding.Methods: A self-reported questionnaire was developed and distributed to 600 doctors. Five-point Likert scales were used for most responses.Results: Of 525 respondents, the mainly nutritional support method was NGT while PEG was less used. Doctors working in the tertiary class A hospitals and radiotherapy department were more likely to choose PEG feeding (p=0.000). Overall, 241 (46%) participants do not know PEG and 284 (54%) have different understanding degree of PEG. Age (p=0.002), working life (p=0.044) and professionalism (p=0.005) were significantly related to the understanding of PEG. Levels of agreement was high (score of 3.47) for using PEG in patients with prolonged stroke-associated dysphagia. There was high agreement level in the statement that PEG was unnecessary when NGT could sustain the basic needs of patients, though better outcome can be predicted with PEG feeding. The listed factors influencing physicians' choice of PEG for long-term feeding scored high for all items, ranging from 3.57 to 3.89. Conclusions: Doctors’ insufficient knowledge of PEG feeding, resistance from patients and families, poor cooperation among healthcare professionals (HCPs) and between departments, and a crisis of doctor-patient trust all influence the medical decision-making process, all these factors leading physicians to prefer more conservative treatment to avoid disputes rather than better ones.

Outcome of long-term enteral nutrition by percutaneous endoscopic gastrostomy in HIV-infected patients

1994 ◽  
Vol 13 ◽  
pp. 11 ◽  
Author(s):  
J. Ockenga ◽  
U. Suettmann ◽  
S.C. Bischoff ◽  
S. Wagner ◽  
A. Schlesinger ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Endoscopic Gastrostomy

scholarly journals Clinician's attitude to enteral nutrition with percutaneous endoscopic gastrostomy: a survey in China

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Yijie Zhang ◽  
Chen Ma ◽  
Chenxi Li ◽  
Qian Chen ◽  
Meifen Shen ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Percutaneous Endoscopic Gastrostomy ◽  
High Agreement ◽  
Potential Barriers ◽  
Class A ◽  
Endoscopic Gastrostomy ◽  
Feeding Resistance ◽  
Radiotherapy Department ◽  
Insufficient Knowledge

Abstract Background Percutaneous endoscopic gastrostomy (PEG) is recommended for long-term enteral nutrition. However, long-term nasogastric (NGT) feeding is still commonplace in China. We surveyed Chinese clinicians’ opinions toward PEG feeding in order to identify the potential barriers to acceptancy of PEG feeding. Methods A self-reported questionnaire was developed and distributed to 600 doctors. Five-point Likert scales were used for most responses. Results Of 525 respondents, the mainly nutritional support method was NGT while PEG was less used. Doctors working in the tertiary class A hospitals and radiotherapy department were more likely to choose PEG feeding (p = 0.000). Overall, 241 (46%) participants did not know PEG and 284 (54%) have different understanding degree of PEG. Age (p = 0.002), working life (p = 0.044) and professionalism (p = 0.005) were significantly related to the understanding of PEG. Levels of agreement was high (score of 3.47) for using PEG in patients with prolonged stroke-associated dysphagia. There was high agreement level in the statement that PEG was unnecessary when NGT could sustain the basic needs of patients, though better outcome can be predicted with PEG feeding. The highest scoring factor (score of 3.91) that influenced clinicians’ choice of PEG was resistance from patients and families and the second one was the poor cooperation among departments (score of 3.80). Conclusions Doctors’ insufficient knowledge of PEG feeding, resistance from patients and families, poor cooperation among departments, all these factors leading physicians to prefer more conservative treatment to avoid disputes rather than better ones.

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