Feeding dementia patients via percutaneous endoscopic gastrostomy

Shimon M. Glick, Alan B. Jotkowitz

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Several seminal papers discussing unfavorable results of percutaneous endoscopic gastrostomy (PEG) feeding in patients with advanced dementia have led to the widespread belief that the use of enteral feeding in patients with dementia provides no benefit with regard to life extension, is associated with many complications, and is therefore not indicated. Nevertheless, thousands of such patients worldwide are currently being kept alive for months or years, belying these recommendations. Careful selection of patients for PEG at an earlier stage of dementia may be warranted if prolongation of life, even in the presence of this disease, is the objective. High-quality prospective randomized controlled clinical trials are much needed to resolve these clinical dilemmas.

Original languageEnglish
Pages (from-to)32-34
Number of pages3
JournalAnnals of Long-Term Care
Volume21
Issue number1
StatePublished - 1 Jan 2013

Keywords

  • Assisted oral feeding
  • Dementia care
  • Enteral feeding
  • Percutaneous endoscopic gastrostomy (PEG)
  • Tube feeding complications

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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