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. 2011 Apr;11(2):132-7.
doi: 10.7861/clinmedicine.11-2-132.

Helping the general physician to improve outcomes after PEG insertion: how we changed our practice

L C Skitt  1 , J J Hurley, J K Turner, A J Green, N Pinch, S Dolwani, G L Swift, T Green
Affiliations

Helping the general physician to improve outcomes after PEG insertion: how we changed our practice

L C Skitt et al. Clin Med (Lond). 2011 Apr.

Abstract

During their careers, most general physicians are involved in the decision-making process for patients that potentially require percutaneous endoscopic gastrostomy (PEG) insertion. However, poor patient selection and less than favourable outcomes are frequently observed in this group. With the aim of identifying and addressing the underlying issues, the PEG service at University Hospital Llandough was radically changed over an eight-year period. The development of a nurse-led pre-assessment service and design of a specific referral form was successful in reducing the number of PEG referrals and consequently the 30-day mortality rate. Furthermore, the educational and training needs of general physicians of all grades regarding the issues surrounding PEG placement were identified and addressed at formal teaching sessions. A combination of these factors has positively impacted on our service, with more appropriate patient selection and a reduced 30-day mortality rate.

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Figures

Fig 1.
Fig 1.
Successful percutaneous endoscopic gastrostomy (PEG) insertions alive after 30 days compared to the 30-day mortality rate.
See this image and copyright information in PMC

Comment in

References

    1. Sanders DS, Anderson AJ, Bardhan KD. Percutaneous endoscopic gastrostomy: an effective strategy for gastrostomy feeding in patients with dementia. Clin Med. 2004;4:235–41. - PMC - PubMed
    1. National Confidential Enquiry into Patient Outcome and Death . Scoping our practice. The 2004 report of the National Confidential Enquiry into Patient Outcome and Death. London: NCEPOD; 2004.
    1. Stroud H, Duncan H, Nightingale J. Guidelines for enteral feeding in adult hospital patients. Gut. 2003;52(Suppl VII):vii1–vii12. doi: 10.1136/gut.52.suppl_7.vii1. - DOI - PMC - PubMed
    1. Allison MC, Sandoe JA, Tighe R, et al. Antibiotic prophylaxis in gastrointestinal endoscopy. Gut. 2009;58:869–80. doi: 10.1136/gut.2007.136580. - DOI - PubMed
    1. Rabeneck L, McCullough LB, Wray NP. Ethically justified, clinically comprehensive guidelines for percutaneous endoscopic gastrostomy tube placement. Lancet. 1997;349:496–8. doi: 10.1016/S0140-6736(96)07369-2. - DOI - PubMed