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Speech and language therapists should have participated in study

BMJ 1996; 312 doi: (Published 13 April 1996) Cite this as: BMJ 1996;312:972
  1. Jean Kerr,
  2. Richard Butterworth,
  3. Philip Bath
  1. Stroke Association research speech and language therapist Stroke Association clinical research fellow Wolfson senior lecturer in stroke medicine Department of Medicine, King's College School of Medicine and Dentistry, London SE5 9PJ

    EDITOR,—The methods used in and assumptions underlying B Norton and colleagues' study of percutaneous endoscopic gastrostomy feeding mean that such feeding is not necessarily “the nutritional treatment of choice for patients with acute dysphagic stroke.”1

    We can find no evidence that “it is common practice to delay enteral feeding in such patients for several weeks.”1 Similarly, it is not usual to persist with nasogastric tube feeding despite up to 10 displacements of the tube when a percutaneous endoscopy gastrostomy service is available, or …

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