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Percutaneous endoscopic gastrostomy.
  1. A. Hussain,
  2. S. Woolfrey,
  3. J. Massey,
  4. A. Geddes,
  5. J. Cox
  1. Medicine for the Elderly and General Medicine, Guy's Hospital, London, UK.


    Percutaneous endoscopic gastrostomy (PEG) is now the technique of choice for patients requiring long-term enteral feeding. It is a good method for feeding patients with neurological dysphagia and can safely be kept in situ for long periods. PEG feeding requires a multidisciplinary approach, involving doctors, nurses, pharmacists, speech therapists, dieticians and carers. The insertion of a PEG, which requires two operators and two endoscopy nurses, is described in full. Feeding can commence after a few hours. Various types of feed and feed-ing patterns are described and their relative merits discussed. Although psychological problems may occur following PEG insertion, the procedure is usually well accepted by patients.

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