{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T10:32:00Z","timestamp":1793442720968,"version":"4.5.0"},"reference-count":0,"publisher":"HCA Healthcare","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HCA Healthcare Journal of Medicine"],"abstract":"<jats:p>Background \nCreutzfeldt-Jakob disease (CJD) is a rapidly progressive neurodegenerative condition that is not easily diagnosed and has no curative treatments available, essentially requiring palliative measures, including tube feeding. Nonetheless, data shows that the endoscope used for percutaneous endoscopic gastrostomy (PEG) tube insertion can be a vector for CJD transmission.\nCase Presentation \nWe discuss the case of an elderly patient diagnosed with CJD, requiring tube feeding. Multiple specialists were consulted, and they were unable to reach an agreement on the best approach. Eventually, the hospital ethics committee intervened, and the family agreed to comfort measures only. This case report sheds light on the ethical challenges surrounding the use of endoscopically assisted PEG tube placement for patients with confirmed or suspected CJD.\nConclusion \nEthical consideration for patients with dementia, especially with CJD, includes evaluating harm and benefit, considering legal and societal responsibilities, respecting autonomy, and managing transmission risks. Based on our findings, we encourage interdisciplinary collaboration when navigating complex medical decision-making for patients with human prion diseases and advanced dementia.<\/jats:p>","DOI":"10.36518\/2689-0216.1836","type":"journal-article","created":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T06:26:21Z","timestamp":1740896781000},"source":"Crossref","is-referenced-by-count":0,"title":["Ethical Considerations of Percutaneous Endoscopic Gastrostomy Tube Placement in a Patient With Creutzfeldt-Jakob Disease and Advanced Dementia"],"prefix":"10.36518","volume":"6","author":[{"given":"Toni","family":"Habib","sequence":"first","affiliation":[{"name":"Staten Island University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh Siobh\u00e1n","family":"Mulrooney","sequence":"additional","affiliation":[{"name":"Touro College of Osteopathic Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yisroel","family":"Grabie","sequence":"additional","affiliation":[{"name":"Staten Island University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Maruf","sequence":"additional","affiliation":[{"name":"Staten Island University hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Kasapira","sequence":"additional","affiliation":[{"name":"Staten Island University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22435","published-online":{"date-parts":[[2025,2,28]]},"container-title":["HCA Healthcare Journal of Medicine"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T09:51:08Z","timestamp":1793440268000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.hcahealthcare.com\/hcahealthcarejournal\/vol6\/iss1\/17"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,28]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,2,28]]}},"URL":"https:\/\/doi.org\/10.36518\/2689-0216.1836","relation":{},"ISSN":["2689-0216"],"issn-type":[{"value":"2689-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,28]]}}}