Atkinson, R. J.; Grant, J.; Case-Upton, S. P.; McAlindon, M. E.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA5
Academic Journal
Percutaneous endoscopic gastrostomy (PEG) is regarded as the first choice for long term enteral feeding and is traditionally placed by two physicians endoscopist and assistant. However, PEG insertion is associated with considerable morbidity and mortality. Pre-assessment and PEG insertion by a dedicated nurse practitioner (NP) may reduce these risks. Authors present data from before and after the appointment of a NP at their hospital. The data confirm the safety of PEG insertion by a dedicated NP. Furthermore, since there is no obvious change in age or indication for PEG it may be that the significant reduction in aspiration and PEG displacement and the trend toward lower mortality rates is due to more appropriate patient selection, through pre-assessment by the NP and the development of a specialist PEG team.


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