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. 2011:55.
doi: 10.3402/fnr.v55i0.6037. Epub 2011 Jul 20.

Indications for percutaneous endoscopic gastrostomy and survival in old adults

Anna Malmgren  1 , Gunnel Wärn Hede, Brita Karlström, Tommy Cederholm, Per Lundquist, Mikael Wirén, Gerd Faxén-Irving
Affiliations

Indications for percutaneous endoscopic gastrostomy and survival in old adults

Anna Malmgren et al. Food Nutr Res. 2011.

Abstract

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.

Keywords: PEG; elderly; enteral nutrition; gastrostomy; mortality; survival.

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Figures

Fig. 1
Fig. 1
Survival time, all patients, n=191.
See this image and copyright information in PMC

References

    1. Volkert D, Berner YN, Berry E, Cederholm T, Coti Bertrand P, Milne A, et al. ESPEN guidelines on enteral nutrition: geriatrics. Clin Nutr. 2006;25:330–60. - PubMed
    1. Norton B, Homer-Ward M, Donnelly MT, Holmes GKT. A randomised prospective comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding after acute dysphagic stroke. BMJ. 1996;312:13–16. - PMC - PubMed
    1. Gauderer MWL, Ponsky JL, Izant RJ. Gastrostomy without laparotomy; a percutaneous endoscopic technique. J Pediat Surg. 1980;15:872–5. - PubMed
    1. Skelly RH, Kupfer RM, Metcalfe ME, Allison SP, Holt M, Hull MA, et al. Percutaneous endoscopic gastrostomy (PEG): change in practice since 1988. Clin Nutr. 2002;21:389–94. - PubMed
    1. Callahan CM, Haag KM, Weinberger M, Tierney WM, Buchanan NN, Stump TE, et al. Outcomes of percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc. 2000;48:1048–54. - PubMed