Background Dysphagia is a common symptom among various neurological diseases. Guidelines recommend gastrostomy insertion for prolonged dysphagia with lower rate of intervention failure encountered with percutaneous endoscopic gastrostomy (PEG) as compared to nasogastric tube insertion. Methods Neurology consultants only were included and completed a self-administered questionnaire concerning their practice backgrounds and previous experience with PEG feeding during their practice. Results Ninety-eight percent stated that they would recommend PEG for patients with prolonged need of nasogastric feeding. However, only 88% actually referred patients to perform PEG, with the cerebrovascular disorders being the most common cases to be referred. The main barriers the surveyed neurologists faced were family resistance and financial reasons (53.5%). Interestingly, younger neurologists practicing for less than 15 years referred patient to perform PEG significantly more frequent than older ones ( p = 0.01). About 18% of our sample confirmed the lack of sufficient knowledge about the benefits of PEG feeding, and only 22% previously attended scientific sessions about the benefits and indications of PEG. Conclusion Based on our study, we recommend that PEG should be more encouraged in indicated neurological cases. Scientific sessions targeting neurologists and public awareness about the benefits of PEG and its relatively infrequent complications are highly demanded.

中文翻译：

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神经科医师对经皮内镜胃造口术的态度和经验：一项埃及研究

背景吞咽困难是各种神经系统疾病中的常见症状。指南推荐插入胃造口术治疗长期吞咽困难，与插入鼻胃管相比，经皮内窥镜胃造口术 (PEG) 遇到的干预失败率较低。方法仅包括神经学顾问并完成了一份关于他们的实践背景和实践期间 PEG 喂养的先前经验的自我管理问卷。结果 98% 的人表示他们会推荐 PEG 用于长期需要鼻胃管喂养的患者。然而，实际上只有 88% 的患者转诊进行 PEG，其中脑血管疾病是最常见的转诊病例。接受调查的神经科医生面临的主要障碍是家庭阻力和经济原因（53.5%）。有趣的是，从业时间不到 15 年的年轻神经科医师转诊患者进行 PEG 的频率明显高于年长者（p = 0.01）。大约 18% 的样本证实缺乏对 PEG 喂养益处的足够了解，并且只有 22% 之前参加过有关 PEG 益处和适应症的科学会议。结论 根据我们的研究，我们建议在有指征的神经系统病例中应更多地鼓励 PEG。非常需要针对神经学家和公众意识的关于 PEG 的好处及其相对罕见的并发症的科学会议。大约 18% 的样本证实缺乏对 PEG 喂养益处的足够了解，并且只有 22% 之前参加过有关 PEG 益处和适应症的科学会议。结论 根据我们的研究，我们建议在有指征的神经系统病例中应更多地鼓励 PEG。非常需要针对神经学家和公众意识的关于 PEG 的好处及其相对罕见的并发症的科学会议。大约 18% 的样本证实缺乏对 PEG 喂养益处的足够了解，并且只有 22% 之前参加过有关 PEG 益处和适应症的科学会议。结论 根据我们的研究，我们建议在有指征的神经系统病例中应更多地鼓励 PEG。非常需要针对神经学家和公众意识的关于 PEG 的好处及其相对罕见的并发症的科学会议。