High success, low 30-day mortality and prolonged survival following PEG insertion in motor neurone disease patients undergoing multidisciplinary clinic review

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A analysis (Dec 2022) were censored.Log rank tests were conducted by comparing patients' pre-procedural weight, MND onset site and pre-procedural respiratory compromise. Results48 MND patients were reviewed in the multidisciplinary clinic.22 did not go forward for PEG insertion.26 patients had attempted PEG insertion.Two had failed procedures -one for anatomical reasons and one desaturated prior to the procedure.These two patients were removed from the survival analysis.25 out of the 26 procedures were completed with LA spray and fentanyl only with one patient requiring midazolam.The age range of the patients was 42-82 with a median of 63.BMI ranged from 16.9 to 34 with a median of 23.1.13 had >10% body weight pre-procedural weight loss and 13 did not.24/26 patients had documented respiratory function tests.10 did not have compromised respiratory functions and 14 did.MND onset classification at presentation was as follows: bulbar only (nine), limb + bulbar (three), limb only (12), respiratory only (one), neck only (one).Range of survival post PEG was 44-985 days, a mean of 263.5 days and median 168 days.None died within 30 days of

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