naa a22 4500 51074043X CHVBK 20180411083026.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s11845-012-0845-2 doi (NATIONALLICENCE)springer-10.1007/s11845-012-0845-2 O'Mahony S. Consultant Gastroenterologist, Cork University Hospital, Wilton, Cork, Ireland aut Difficulties with percutaneous endoscopic gastrostomy (PEG): a practical guide for the endoscopist [Elektronische Daten] [S. O'Mahony] Background: Percutaneous endoscopic gastrostomy (PEG) is a widely used and effective means of providing long-term nutrition in patients with inadequate oral intake. The demand for this intervention has risen steadily since the early 1990s. Endoscopists who perform PEG insertion have become increasingly concerned about inappropriate use of this intervention. Aims: This review addresses the particular areas of difficulty, namely, dementia, stroke, aspiration pneumonia and use of PEG to facilitate discharge from hospital. Methods: A Pubmed literature search and the author's personal experience. Conclusions: Strategies for improving patient selection and a practical approach to difficult decisions are described. Royal Academy of Medicine in Ireland, 2012 Percutaneous endoscopic gastrostomy nationallicence Dementia nationallicence Aspiration pneumonia nationallicence Enteral nutrition nationallicence Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 25-28 0021-1265 182:1<25 2013 182 11845 https://doi.org/10.1007/s11845-012-0845-2 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-012-0845-2 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- O'Mahony S. Consultant Gastroenterologist, Cork University Hospital, Wilton, Cork, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/1(2013-03-01), 25-28 0021-1265 182:1<25 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer