Medical and ethical aspects of long-term enteral tube feeding

M. Molly McMahon, Daniel L. Hurley, Patrick Sequeira Kamath, Paul Mueller

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Clinicians frequently care for patients in whom long-term enteral tube feeding is being considered. The substantial increase in the use of endoscopically placed tubes for long-term feeding reflects the aging population, advances in medicine and technology, and inadequate advance care planning. Physicians should address advance care planning with all patients at the earliest opportunity. Prospective randomized trials measuring clinical outcomes for patients receiving long-term tube feeding are understandably limited. In addition, confusion regarding medical and ethical guidelines for long-term tube feeding often exists among clinicians, patients, and surrogate decision makers. Therefore, we discuss the physiology and clinical tolerance of limited oral nutritional intake, the prevalence of and indications for long-term tube feeding, the endoscopic procedures and their complications, the reported medical and quality-of-life outcomes, and the critical importance of advance care planning. We present our multidisciplinary approach that combines medical, nutritional, and ethical principles for the care of these patients.

Original languageEnglish (US)
Pages (from-to)1461-1476
Number of pages16
JournalMayo Clinic Proceedings
Volume80
Issue number11
StatePublished - 2005

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Enteral Nutrition
Advance Care Planning
Patient Care
Randomized Controlled Trials
Quality of Life
Medicine
Guidelines
Technology
Physicians
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Medical and ethical aspects of long-term enteral tube feeding. / McMahon, M. Molly; Hurley, Daniel L.; Kamath, Patrick Sequeira; Mueller, Paul.

In: Mayo Clinic Proceedings, Vol. 80, No. 11, 2005, p. 1461-1476.

Research output: Contribution to journalArticle

McMahon, M. Molly ; Hurley, Daniel L. ; Kamath, Patrick Sequeira ; Mueller, Paul. / Medical and ethical aspects of long-term enteral tube feeding. In: Mayo Clinic Proceedings. 2005 ; Vol. 80, No. 11. pp. 1461-1476.
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