Solution of eating disorders in geriatric patients via PEG: experience from the Center for Aftercare of Motol University Hospital
Abstract
Percutaneous endoscopic gastrostomy (PEG) is the most preferred mini-invasive method for providing nutrition, hydration and medication to patients who have failed natural oral intake - complete or partial, enteral, ie natural. It is a more comfortable solution for the patient than other methods of administering enteral nutrition, for example by nasogastric or nasopharyngeal tube (NGS, NJS).
Patients tolerate the use of NGS less well because it irritates the mucous membranes, causes bruising and ulceration with subsequent bleeding, in addition, it has less lumen than the PEG probe and clogs more often. The principle of PEG is the introduction of a gastrostomy probe into the stomach by endoscopic method.
The presented case reports compare the case of meaningful use of PEG against controversial indications, where special attention should be paid to the ethics and comfort of the patient in the terminal stages of the disease without burdensome invasive procedures.