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Table of Contents
Vol. 20, No. 3-4, 2002
Issue release date: 2002
Section title: Original Paper
Dig Dis 2002;20:289–292
(DOI:10.1159/000067667)

Percutaneous Endoscopic Gastrostomy: Adequacy and Quality of Information Given to Decision-Makers

Ladas S.D.a · Triantafyllou K.a · Liappas I.b · Hatziargyriou M.a · Tzavellas E.b · Barbatzas C.c · Christodoulou G.b · Raptis S.A.a
aGastroenterology Unit, 2nd Department of Internal Medicine, Athens University, ‘Evangelismos’ Hospital; bDepartment of Psychiatry, Athens University, ‘Aeginiteon’ Hospital, and cGastroenterology Department, Sismanoglion Hospital, Athens, Greece

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: January 14, 2003
Issue release date: 2002

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 2

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: http://www.karger.com/DDI

Abstract

Background/Aim: Nowadays percutaneous endoscopic gastrostomy (PEG) is widely available, but patient-selection criteria and quality of informed consent are debated. The aims of this retrospective study were to evaluate the quality of information given to the decision-makers (relatives) and determine the overall acceptance of the procedure by the patients’ family. Methods: The relatives of patients with PEG were interviewed by telephone, using a structured questionnaire. They (n = 55; 36% spouses, 34% children, 30% other) gave information about themselves and the patient (34 males, 21 females, median age 69, range 16–92 years) who underwent PEG tube placement for eating disorders or dysphagia. Results: At the time of evaluation 30/55 (54.6%) patients had died. The cumulative median survival was significantly longer in patients younger than 75 years by 58 days (p = 0.009). Relatives believed that PEG could improve the patients’ quality of life (56%) or/and the underlying disease. Although 93% of the decision-makers considered that their opinion had been taken into account when the procedure was done, 25% said that they had not adequately been informed about alternative methods and the complications of the procedure (38%). 54% said that the procedure had improved the quality of life of the family. Most of the decision-makers believed that their decision was correct (87%) and they would recommend PEG (84%) to other patients suffering from dysphagia. Conclusion: Though several decision-makers were not satisfied with the quality of information given before informed consent, the overall acceptance of the PEG placement for nutritional support is high.

© 2003 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: January 14, 2003
Issue release date: 2002

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 2

ISSN: 0257-2753 (Print)
eISSN: 1421-9875 (Online)

For additional information: http://www.karger.com/DDI


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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