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Ethical Considerations Concerning Use of Percutaneous Endoscopic Gastrostomy Feeding Tubes in Patients With Advanced Dementia.

作者信息

Schneider Paul L, Fruchtman Cynthia, Indenbaum Joe, Neuman Eszter, Wilson Christine, Keville Terri

机构信息

Los Angeles County Medical Association, Los Angeles, CA.

Los Angeles County Bar Association, Los Angeles, CA.

出版信息

Perm J. 2021 Jun 2;25:20.302. doi: 10.7812/TPP/20.302.

DOI:10.7812/TPP/20.302
PMID:35348076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8817934/
Abstract
摘要

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Ethical Considerations Concerning Use of Percutaneous Endoscopic Gastrostomy Feeding Tubes in Patients With Advanced Dementia.晚期痴呆患者使用经皮内镜下胃造口饲管的伦理考量
Perm J. 2021 Jun 2;25:20.302. doi: 10.7812/TPP/20.302.
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Ethical decision-making process for percutaneous endoscopic gastrostomy in patients with dysphagia.吞咽困难患者经皮内镜下胃造口术的伦理决策过程
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A survey of the reasons patients do not chose percutaneous endoscopic gastrostomy/jejunostomy (PEG/PEJ) as a route for long-term feeding.一项调查患者为何不选择经皮内镜胃/肠造口术（PEG/PEJ）作为长期喂养途径的原因。
J Clin Nurs. 2011 Mar;20(5-6):802-10. doi: 10.1111/j.1365-2702.2010.03541.x.
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Physician opinions on decision making for percutaneous endoscopic gastrostomy (PEG) feeding tube placement.医生对经皮内镜胃造口术（PEG）喂养管放置决策的看法。
Surg Endosc. 2019 Dec;33(12):4089-4097. doi: 10.1007/s00464-019-06711-3. Epub 2019 Feb 26.
5
Barriers to limiting the practice of feeding tube placement in advanced dementia.限制晚期痴呆患者放置饲管操作的障碍。
J Palliat Med. 2003 Dec;6(6):885-93. doi: 10.1089/109662103322654767.
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Percutaneous endoscopic stomas for enteral feeding and drainage.用于肠内营养和引流的经皮内镜造口术
Oncology (Williston Park). 1995 Jan;9(1):39-44; discussion 44, 47.
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Feeding alternatives in patients with dementia: examining the evidence.痴呆患者的替代喂养方式：审视证据
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Percutaneous endoscopic gastrostomy - Too often? Too late? Who are the right patients for gastrostomy?经皮内镜胃造口术——过于频繁？为时过晚？谁是胃造口术的合适患者？
World J Gastroenterol. 2020 May 28;26(20):2464-2471. doi: 10.3748/wjg.v26.i20.2464.
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[Percutaneous endoscopic gastrostomy for enteral nutrition. An evaluation of 50 patients].
Tidsskr Nor Laegeforen. 1998 Jan 20;118(2):214-5.
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Maximizing tolerance of enteral nutrition in severely injured trauma patients: a comparison of enteral feedings by means of percutaneous endoscopic gastrostomy versus percutaneous endoscopic gastrojejunostomy.最大限度提高严重创伤患者肠内营养耐受性：经皮内镜下胃造口术与经皮内镜下胃空肠造口术肠内喂养的比较
J Trauma. 2000 Mar;48(3):459-64; discussion 464-5. doi: 10.1097/00005373-200003000-00014.

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Intending to avoid the treatment burdens only: the doctrine of double effect and withholding or withdrawing life-sustaining treatment.仅旨在避免治疗负担：双重效应原则与停止或撤销维持生命治疗
Theor Med Bioeth. 2025 Jun;46(3):209-230. doi: 10.1007/s11017-025-09712-7. Epub 2025 Mar 21.
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Use of Feeding Tubes Among Hospitalized Older Adults With Dementia.痴呆症住院老年人鼻饲管的使用情况
JAMA Netw Open. 2025 Feb 3;8(2):e2460780. doi: 10.1001/jamanetworkopen.2024.60780.
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Pre-hospitalization dysphagia and feeding tube placement in nursing home residents with advanced dementia.养老院中患有晚期痴呆症的居民的院前吞咽困难和置管喂养。
J Am Geriatr Soc. 2024 Mar;72(3):778-790. doi: 10.1111/jgs.18729. Epub 2023 Dec 29.
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The Complexity of Nutritional Problems in Persons with Dementia: Expanding a Theoretical Model.痴呆症患者营养问题的复杂性：扩展理论模型。
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本文引用的文献

1
Advance Directives for Dementia: Meeting a Unique Challenge.痴呆症的预先指示：应对独特挑战
JAMA. 2017 Dec 12;318(22):2175-2176. doi: 10.1001/jama.2017.16473.
2
PEG Insertion in Patients With Dementia Does Not Improve Nutritional Status and Has Worse Outcomes as Compared With PEG Insertion for Other Indications.与因其他适应症进行经皮内镜下胃造口术（PEG）相比，痴呆患者进行PEG并不能改善营养状况，且预后更差。
J Clin Gastroenterol. 2017 May/Jun;51(5):417-420. doi: 10.1097/MCG.0000000000000624.
3
American Geriatrics Society feeding tubes in advanced dementia position statement.美国老年医学会关于晚期痴呆患者饲管的立场声明。
J Am Geriatr Soc. 2014 Aug;62(8):1590-3. doi: 10.1111/jgs.12924. Epub 2014 Jul 17.
4
Achieving Patient-Centered Care in a Case of a Patient With Advanced Dementia.
Nutr Clin Pract. 2014 Aug;29(4):556-558. doi: 10.1177/0884533614536588. Epub 2014 Jun 9.
5
Percutaneous endoscopic gastrostomy (PEG) tubes are placed in elderly adults in Japan with advanced dementia regardless of expectation of improvement in quality of life.经皮内镜下胃造口术（PEG）管在日本被放置在患有晚期痴呆的老年患者中，无论其生活质量是否有望改善。
J Nutr Health Aging. 2014 May;18(5):503-9. doi: 10.1007/s12603-014-0011-9.
6
Percutaneous endoscopic gastrostomy tube replacement unexpected serious events.经皮内镜下胃造口管置换意外严重事件。
Nutr Clin Pract. 2014 Feb;29(1):142-5. doi: 10.1177/0884533613515725. Epub 2013 Dec 13.
7
Barriers to end-of-life care for African Americans from the providers' perspective: opportunity for intervention development.从提供者角度看非裔美国人临终关怀的障碍：干预措施开发的机遇
Am J Hosp Palliat Care. 2015 Mar;32(2):137-43. doi: 10.1177/1049909113507127. Epub 2013 Oct 4.
8
Practice paper of the Academy of Nutrition and Dietetics abstract: ethical and legal issues of feeding and hydration.营养与饮食学会实践论文摘要：喂养和水合的伦理和法律问题。
J Acad Nutr Diet. 2013 Jul;113(7):981. doi: 10.1016/j.jand.2013.05.006.
9
The underside of the silver tsunami--older adults and mental health care.银色海啸的背后——老年人与心理健康护理
N Engl J Med. 2013 Feb 7;368(6):493-6. doi: 10.1056/NEJMp1211456. Epub 2013 Jan 23.
10
Feeding tubes and the prevention or healing of pressure ulcers.饲管与压疮的预防或愈合
Arch Intern Med. 2012 May 14;172(9):697-701. doi: 10.1001/archinternmed.2012.1200.