Helping the general physician to improve outcomes after PEG insertion: how we changed our practice

Skitt, L. C., Hurley, J. J., Turner, J .K., Green, A. J., Pinch, N., Dolwani, S., Swift, G. L. and Green, J. T. 2011. Helping the general physician to improve outcomes after PEG insertion: how we changed our practice. Clinical Medicine 11 (2) , pp. 132-137. 10.7861/clinmedicine.11-2-132

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Abstract

During their careers, most general physicians are involved in the decision-making process for patients that potentially require percutaneous endoscopic gastrostomy (PEG) insertion. However, poor patient selection and less than favourable outcomes are frequently observed in this group. With the aim of identifying and addressing the underlying issues, the PEG service at University Hospital Llandough was radically changed over an eight-year period. The development of a nurse-led pre-assessment service and design of a specific referral form was successful in reducing the number of PEG referrals and consequently the 30-day mortality rate. Furthermore, the educational and training needs of general physicians of all grades regarding the issues surrounding PEG placement were identified and addressed at formal teaching sessions. A combination of these factors has positively impacted on our service, with more appropriate patient selection and a reduced 30-day mortality rate.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Publisher:	Elsevier BV
ISSN:	1470-2118
Date of First Compliant Deposit:	7 August 2026
Last Modified:	07 Aug 2026 11:15
URI:	https://orca.cardiff.ac.uk/id/eprint/188776

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