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Tissue Engineering of the Intestine in a Murine Model

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Published on: December 1, 2012

Ethics and gastrointestinal artificial feeding.

Timothy O Lipman¹

¹Gastrointestinal-Hepatology-Nutrition Section, Department of Veterans Affairs Medical Center, 50 Irving Street NW, Washington, DC 20422, USA. timothy.lipman@med.va.gov

Current Gastroenterology Reports

|July 13, 2004

Summary

Medical ethics in gastroenterology addresses artificial feeding at end of life. Gastric artificial feeding offers no proven survival benefit for dementia patients with dysphagia, shifting focus to patient selection and compassionate care.

Keywords:

Death and Euthanasia

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Area of Science:

Medical Ethics
Gastroenterology
Palliative Care

Background:

Medical ethics examines human values in healthcare.
Gastroenterology faces ethical dilemmas, particularly concerning artificial feeding in end-of-life care.
Distinguishing between eating and artificial feeding is crucial for ethical decision-making.

Purpose of the Study:

To explore the ethical considerations of gastric and intestinal artificial feeding in gastroenterology at the end of life.
To analyze the efficacy and ethical implications of artificial feeding in patients with dementia and dysphagia.
To emphasize the components of ethical care in managing complex end-of-life situations.

Main Methods:

Literature review on medical ethics and gastroenterology practices.
Analysis of recent data regarding artificial feeding in patients with dementia and dysphagia.
Examination of ethical principles applied to end-of-life care decisions.

Main Results:

Gastric artificial feeding does not appear to prolong life in patients with dementia and dysphagia.
The lack of demonstrated benefit shifts focus to appropriate patient selection for artificial feeding.
Ethical care necessitates compassion, communication, consultation, and collaboration.

Conclusions:

Ethical decision-making in gastroenterology requires careful consideration of artificial feeding's benefits and burdens.
Patient selection for artificial feeding should be based on evidence and individual patient values.
Compassionate and collaborative approaches are essential for ethical end-of-life care.