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Surg Endosc. 2005 Mar;19(3):398-400. Epub 2004 Dec 23.

Ethical challenges of percutaneous endoscopic gastrostomy.

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  • 1Center for Health Care Ethics, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Los Angeles, CA 90048, USA. morgenstern@cshs.org


Percutaneous endoscopic gastrostomy (PEG) is a widely used procedure for patients who cannot swallow. Although it is mostly performed for valid indications, its use in terminally ill patients is questionable. In this study, more than 30% of patients died in hospital after PEG placement and 16% died less than 30 days after placement. Strict guidelines and oversight or PEG placement are recommended.

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