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Authors' reply

BMJ 1996; 312 doi: (Published 13 April 1996) Cite this as: BMJ 1996;312:973
  1. B Norton,
  2. G K T Holmes
  1. Consultant gastroenterologist Consultant gastroenterologist Derbyshire Royal Infirmary, Derby DE1 2QY

    EDITOR,—Kate Mackay raises concerns about long term outcome, and we are continuing to monitor the quality of life of our patients. The ethical dilemmas should be no different for either method of feeding. Percutaneous endoscopic gastrostomy tubes can be easily removed endoscopically or, in some cases, with external traction. The legal considerations of withdrawing nutritional support must always be borne in mind.

    David G Smithard and Jean Kerr and colleagues can be reassured that our patients were assessed by qualified speech therapists; we …

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