Printed in Gremt Britain PIL S1353-450S(97)00024-0 i35J-«»5/97 $17.00+0.00 Audit of Percutaneous Endoscopic Gastrostomy in Long-term Enteral Feeding in a Nursing Home

Objecthtr. Perctrtaneooi endoscopk gastrostomy (PEG) is now easily used in tbe erect of long-term enteral nutrition. Tolerance of long-term enteral feeding has been documented in different populations bat the documentation is incomplete in tbe case of older and frail people. Oar aim was to describe early and late tolerance in this population, and to propose ways in which it could be unproved. Dtagm Retrospective study in two parts: tolerance and qnalfty of care; case-control study for tolerance. Setting: A nursing home with 240 beds in south-west France. Study participantr. Tbe PEG group consisted of aD patients who bad undergone PEG insertion between January 1990 and June 1994. Fifty-eight patients were involved, 12 under 65 years (48 ± 10.6), and 46 over 65 (80.7 ± 93). Tbe gastrostomy insertion was performed because of a vegetative state in 6 patients