Education And Debate

The outcome

BMJ 1995; 310 doi: (Published 04 February 1995) Cite this as: BMJ 1995;310:311

A surgical opinion was sought. In view of the patient's malnourished state combined with her heavy protein loss because of her nephrotic syndrome a feeding gastrostomy was recommended. Six months after her initial presentation her albumin concentration was reduced to 24 g/l, and a feeding gastrostomy was inserted radiologically at this time. After insertion of the tube there was some improvement in her nutritional state, but …

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