Editing Percutaneous endoscopic gastrostomy (section)

===In advanced dementia===
The [[American Medical Directors Association]], the [[American Geriatrics Society]] and the [[American Academy of Hospice and Palliative Medicine]] recommend against inserting percutaneous feeding tubes in individuals with advanced dementia and, instead, recommend oral assisted feedings. Artificial nutrition neither prolongs life nor improves its quality in patients with advanced dementia. It may increase the risk of the patient inhaling food, it does not reduce suffering, it may cause fluid overload, diarrhea, abdominal pain and local complications, and it can reduce the amount of human interaction the patient experiences.<ref>Lay summary: {{cite web|url= http://consumerhealthchoices.org/wp-content/uploads/2013/05/ChoosingWiselyFeedingTubeAGS-ER.pdf|title= Feeding tubes for people with Alzheimer's disease: When you need them — and when you don't|publisher= Consumer Reports|access-date= 6 December 2013|archive-url=https://web.archive.org/web/20131212112432/http://consumerhealthchoices.org/wp-content/uploads/2013/05/ChoosingWiselyFeedingTubeAGS-ER.pdf|archive-date=12 December 2013}}
* {{cite web|url= http://www.amda.com/governance/whitepapers/surrogate/clinical.cfm?printPage=1&#Tube_feeding|title= White Paper on Surrogate Decision-Making and Advance Care Planning in Long-Term Care|publisher= American Medical Directors Association -|access-date= 6 December 2013|archive-url= https://web.archive.org/web/20131213225530/http://www.amda.com/governance/whitepapers/surrogate/clinical.cfm?printPage=1&#Tube_feeding|archive-date= 13 December 2013|url-status= dead}}
* {{cite web|url= http://www.americangeriatrics.org/files/documents/feeding.tubes.advanced.dementia.pdf|title= Feeding Tubes in Advanced Dementia Position Statement|last1= Daniel|first1= Kathryn|last2= Rhodes|first2= Ramona|last3= Vitale|first3= Caroline|last4= Shega|first4= Joseph | name-list-style = vanc |date= May 2013|publisher= American Geriatrics Society|access-date= 6 December 2013|archive-url= https://web.archive.org/web/20130921060726/http://www.americangeriatrics.org/files/documents/feeding.tubes.advanced.dementia.pdf|archive-date= 21 September 2013|url-status= dead}}
* {{cite journal|url= http://www.aahpm.org/pdf/06springcoverarticle.pdf|title= Against the Flow: Tube Feeding and Survival in Patients with Dementia|last1= Buff|first1= Daniel D. | name-list-style = vanc |date= Spring 2006|publisher= American Academy of Hospice and Palliative Medicine|journal= AAHPM Bulletin|volume= 7|issue= 1|access-date= 6 December 2013}}</ref>