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Cited by 157Clinical Nutrition and GastroenterologyDysphagia Assessment and ManagementNutrition and Health in Aging

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Enteral Long-Term Nutrition via Percutaneous Endoscopic Gastrostomy (PEG) in 210 Patients A Four-Year Prospective Study

Loser, Chr., Wolters, S., Folsch, U. R.·1998·Digestive Diseases and Sciences
DOI 10.1023/a:1026615106348
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Abstract

After PEG placement at the Medical Department of the University Hospital in Kiel, 210 patients (mean age 61.3 years; 137 men, 73 women) were prospectively followed-up for 133+/-181 days. Close-meshed evaluations of the development of nutritional status, long-term outcome, complications, subjective acceptability, patient care after discharge from the hospital, survival, and nutritional long-term problems were performed. The PEG procedure (duration 13.3+/-4.2 min) was carried out for neurological (42%), ear-nose-throat (28%), and internal medical (30%) indications. Procedure-related mortality was 0%, while altogether 3.8% severe and 20.0% mild complications were observed. Body weight decreased by a mean of 11.4+/-1.5 kg in the three months before and increased by 3.5+/-1.7 kg one year after PEG placement with no significant differences between malignant or benign underlying diseases. Individual subjective acceptability was excellent in 83%, sufficient in 15%, and poor in 2% of patients only. One-year survival rate was 34.3%. The various results of the present prospective study demonstrate that long-term enteral feeding via PEG is a safe, effective, easy-to-practice, and highly acceptable method with excellent long-term results and distinct improvement of nutritional status. Individual decisions for PEG placement should be considered much earlier and more frequently in appropriate patients.

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Research works printed but not linked: 39

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Metadata

Authors
Loser, C., Wolters, S., & Folsch, U. R.
Venue
Digestive Diseases and Sciences
Publisher
Springer Science and Business Media LLC
Published
1998-11
Volume
43
Issue
11
Pages
2549-2557
ISSN
  • 0163-2116 (ISSN-L)
  • 1573-2568
DOI
10.1023/a:1026615106348
OpenAlex
W1471276
Cited by
157
References
0
Citations by year
2026: 5 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 9 · 2017: 4 · 2016: 7 · 2015: 3 · 2014: 10 · 2013: 4 · 2012: 6
FWCI
5.36
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Digestive Diseases and Sciences (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Keywords
percutaneous endoscopic gastrostomy, long-term enteral nutrition, nutritional status, PEG complications, patient acceptability, survival, weight change, neurological disorders, internal medicine patients
MeSH terms
Adult, Aged, Aged, 80 and over, Enteral Nutrition, Female, Follow-Up Studies, Gastroscopy, Gastrostomy, Humans, Male, Middle Aged, Prospective Studies, Time Factors, Body Mass Index, Survival Rate, Treatment Outcome

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