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Indications for percultaneous endoscopic gastrostomy and survival in old adults
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism.
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2011 (English)In: Food & Nutrition Research, ISSN 1654-6628, E-ISSN 1654-661X, Vol. 55, 6037- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Many diseases striking old adults result in eating difficulties. Indications for selecting individuals for percutaneous endoscopic gastrostomy (PEG) are unclear and everybody may not benefit from the procedure.

OBJECTIVE:

The aim of this study was to evaluate indications for and survival after PEG insertion in patients older than 65 years.

DESIGN AND METHODS:

A retrospective analysis including age, gender, diagnosis, indication, and date of death was made in 201 consecutive individuals, 94 male, mean age 79±7 years, who received a nutritional gastrostomy.

RESULTS:

Dysphagia was present in 86% of the patients and stroke was the most common diagnosis (49%). Overall median survival was 123 days and 30-day mortality was 22%. Patients with dementia and Mb Parkinson had the longest survival (i.e. 244 and 233 days), while those with other neurological diseases, and head and neck malignancy had the shortest (i.e. 75 and 106 days). There was no difference in mortality in patients older or younger than 80 years, except in patients with dementia.

CONCLUSIONS:

Old age should not be a contraindication for PEG. A high 30-day mortality indicates that there is a need of better criteria for selection and timing of PEG insertion in the elderly.

Place, publisher, year, edition, pages
2011. Vol. 55, 6037- p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-159598DOI: 10.3402/fnr.v55i0.6037ISI: 000208683700011PubMedID: 21799666OAI: oai:DiVA.org:uu-159598DiVA: diva2:445687
Available from: 2011-10-04 Created: 2011-10-04 Last updated: 2017-12-08Bibliographically approved

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