Audit of percutaneous endoscopic gastrostomy (PEG): a questionnaire survey of hospital consultants

Archives of Gerontology and Geriatrics
U K. SinhaM Hasan

Abstract

One of the commonest indications for PEG is nutritional support in dysphagia. We investigated the current practice of PEG insertion in South Wales (UK). A postal questionnaire was sent to hospital consultants with responsibility for acute medical/geriatric intake in the South Wales area. Eighty-eight of 114 (78.5%) responded. In 69 of 107 (65%) responses (Radiologists and Geriatricians also performed PEG in some hospitals) Gastroenterologists performed the insertion of PEG. Seventy-one (87%) always involved speech therapists before PEG insertion. Forty-five (55%) and 47 (57%) always involved dieticians and nurses, respectively. Eighty (92%) involved carers before PEG. Sixty-three (76%) used nasogastric feed for nutritional support before PEG. Thirty-six of 80 (45%) responses would wait more than 2 weeks before inserting PEG (range less than 7 days to more than 6 weeks). Five (6.5%) preferred long-term nasogastric feed to PEG. Twenty-five (30%) had definite knowledge of a PEG clinic in their hospital and 38 of 77 (49%) who responded to this question said there was no routine follow-up or were not aware about follow up of PEG patients. There is wide variation in the timing of PEG insertion and involvement of paramedical staff. Mo...Continue Reading

Citations

Aug 29, 2003·Clinical Radiology·S L J JamesN Broderick
May 8, 2009·The Proceedings of the Nutrition Society·Fiona C Leslie, Suraj Thomas
Aug 7, 2004·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Mark R AndersonKate Kane
Oct 1, 2011·Scandinavian Journal of Gastroenterology·Matthew KurienDavid S Sanders

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