Percutaneous endoscopic gastrostomy in head and neck cancer patients: indications, techniques, complications and results.

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Serval ID
serval:BIB_C4DA09C149B2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Percutaneous endoscopic gastrostomy in head and neck cancer patients: indications, techniques, complications and results.
Journal
European Archives of Oto-rhino-laryngology
Author(s)
Zuercher Barbara F., Grosjean Pierre, Monnier Philippe
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
2011
Volume
268
Number
4
Pages
623-629
Language
english
Abstract
The aim of this study was to review our experience in percutaneous endoscopic gastrostomy (PEG) performed in patients with cancer of the upper aerodigestive tract. Descriptive retrospective study of 142 patients (115 males, 27 females), mean age 62.4 years (25-84 years), with head and neck or esophageal cancer, who underwent PEG tube insertion between January 2006 and December 2008. The studied parameters were indications, success rate, rate and type of complications, and their management. Percutaneous endoscopic gastrostomy was inserted before chemoradiation therapy in 80% and during or after cancer treatment in 20% of the patients. PEG placement was possible in 137 patients (96%). Major complications were observed in 9 (7%) and minor complications in 22 (17%) of the 137 patients. Seven of the 9 patients with a major complication needed revision surgery. The mortality directly related to the procedure was 0.7%. Percutaneous endoscopic gastrostomy tube insertion has a high success rate. In patients with upper aerodigestive tract cancer, PEG should be the first choice for enteral nutrition when sufficient oral intake is not possible. Although apparently easy, the procedure may occasionally lead to severe complications. Therefore, a strict technique and knowledge of clinical signs of possible complications are mandatory.
Keywords
Percutaneous endoscopic gastrostomy, PEG, Head and neck cancer, tube placement, antibiotic-prophylaxis, trial, peg
Pubmed
Web of science
Open Access
Yes
Create date
31/03/2011 14:52
Last modification date
01/10/2019 6:19
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