A member asked:

Can peg feeding prevent/reduce the re-occurence of aspiration pneumonia in a 49-yr old person with dysphagia due to advanced multiple sclorosis?

3 doctors weighed in across 2 answers
Dr. Herbert Hoover answered

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Yes : A peg tube is the most acceptable and efficient nutritional method for patients with ms-related dysphagia and aspiration pneumonia or risk of pneumonia. One must still be careful to prevent aspiration of refluxed feedings but using frequent, low-volume feedings and keeping the head of the bed elevated at all times, especially after feedings. These patients have difficulty protecting their airway.

Answered 4/20/2013

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Multiple sclerosis : Very good question. The purpose of the peg should be to maintain nutritional support in the presence of inability to swallow. Some articles question it's benefit in reducing the risk of aspiration pneumonia regardless of the cause of dysphagia. In fact, the risk of aspiration pneumonia my be higher in some. Elevating the bed 30 degrees and the use continuous pump-assisted feeding reduces risk.

Answered 4/20/2013

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