Percutaneous endoscopic gastrostomy - Too often? Too late? Who are the right patients for gastrostomy?
作者： Christoph G Dietrich , Konrad Schoppmeyer
关键词: Surgery 、 In patient 、 Parenteral nutrition 、 Medicine 、 Endoscopy 、 Moderate dementia 、 Gastrostomy 、 Dementia 、 Percutaneous endoscopic gastrostomy 、 Advanced dementia
摘要: Percutaneous endoscopic gastrostomy is an established method to provide nutrition patients with restricted oral uptake of fluids and calories. Here, we review the methods, indications complications this procedure. While can be safely easily performed during gastroscopy, right timing for intervention are not always chosen. Especially in dementia, indication gastrostomies often improper. In patient group, clear data enteral lacking; however, some evidence suggests that advanced dementia do benefit, whereas mild moderate might benefit from early nutrition. Additionally, other groups temporary or permanent restriction a useful target population maintain mobilization muscle strength. We plead coordinated study program these identify suitable best tube implantation.
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