MND-PEG TUBE INSERTION

SUMMARY

Factors to discuss with the patient before PEG tube insertion:
1. Rate of progression of disease: if dz rapidly progresses, the patient may not gain benefits of PEG
2. Respiratory status: little use for PEG if respiratory failure already present
3. Nutritional states and weight
4. Patient preference
5. Caregiver support

NB: start discussions early!

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].