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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-8-2
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pubmed:abstractText |
Over the period 1 April 1990 to 31 December 1992, a total of 179 PEG procedures were performed on 161 elderly patients, mean age 79 years (range 53-99). In most (141) patients, the indication was neurological dysphagia (usually stroke), but in 20 the tube was inserted to attain adequate nutritional support. Thirty-day fatality was 20% overall, but in those who underwent PEG only for nutritional support, survival was poor--only 20% at 30 days. Almost all deaths were a result of progression of the original illness. Only one procedure-related death occurred. Fifty-six complicating episodes occurred in 20 (12%) patients, the majority being minor. The commonest adverse event was PEG site infection. PEG is a useful and in general well tolerated procedure in geriatric practice, but careful patient selection is essential; in particular its use as a nutritional adjunct in frail patients needs careful evaluation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0002-0729
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
162-3
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8023728-Adult,
pubmed-meshheading:8023728-Aged,
pubmed-meshheading:8023728-Aged, 80 and over,
pubmed-meshheading:8023728-Cross Infection,
pubmed-meshheading:8023728-Deglutition Disorders,
pubmed-meshheading:8023728-Endoscopy, Gastrointestinal,
pubmed-meshheading:8023728-Enteral Nutrition,
pubmed-meshheading:8023728-Equipment Failure,
pubmed-meshheading:8023728-Female,
pubmed-meshheading:8023728-Follow-Up Studies,
pubmed-meshheading:8023728-Gastrostomy,
pubmed-meshheading:8023728-Humans,
pubmed-meshheading:8023728-Male,
pubmed-meshheading:8023728-Middle Aged,
pubmed-meshheading:8023728-Wales
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pubmed:year |
1994
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pubmed:articleTitle |
The use of percutaneous endoscopic gastrostomy (PEG) in 161 consecutive elderly patients.
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pubmed:affiliation |
University Department of Geriatric Medicine, Cardiff Royal Infirmary West Wing.
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pubmed:publicationType |
Journal Article
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