Abstract

Rationale: In Amyotrophic lateral sclerosis (ALS), gastrostomy is indicated when the weight loss is over 10%, in case of repeated aspirations and if the meal time duration is over 45 min. The benefit of gastrostomy on survival in ALS is unclear and its placement is probably too late. The main works on the subject studied survival from diagnosis but not from indication of gastrostomy. The aims of our work were in ALS patients with indication of gastrostomy and who accepted or refused gastrostomy to study from the indication of gastrostomy to the last assessment or death i) the evolution of nutritional and neurological status and ii) the survival.

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