Prophylactic percutaneous endoscopic gastrostomy in head and neck cancer patients: results of tertiary institute

被引:19
作者
Pulkkinen, Jaakko [1 ,2 ]
Rekola, Jami [1 ,2 ]
Asanti, Mari [1 ,2 ]
Grenman, Reidar [1 ,2 ]
机构
[1] Turku Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, Turku 20521, Finland
[2] Univ Turku, Turku 20521, Finland
关键词
Percutaneous endoscopic gastrostomy; Head and neck cancer; Chemoradiation therapy; Nutrition; COMPLICATIONS; NUTRITION; GUIDELINES; LAPAROTOMY; THERAPY;
D O I
10.1007/s00405-013-2699-2
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
To evaluate the use and complications of a prophylactic percutaneous endoscopic gastrostomy (PEG) in head and cancer patients in our institute. A retrospective study of 194 consecutive patients with a newly diagnosed upper aero digestive tract malignancy who underwent mainly prophylactic PEG tube placement. The procedure is relatively safe: 15 (7.7 %) of the complications were considered serious; no deaths occurred. Of the patients 23 (12.5 %) did not use the PEG tube at all, but it was not possible to single out a group of patients in which this could be predicted. The majority of the patients were considered to benefit from the prophylactic PEG insertion.
引用
收藏
页码:1755 / 1758
页数:4
相关论文
共 14 条
[1]   ESPEN guidelines on enteral nutrition:: Non-surgical oncology [J].
Arends, J. ;
Bodoky, G. ;
Bozzetti, F. ;
Fearon, K. ;
Muscaritoli, M. ;
Selga, G. ;
van Bokhorst-de van der Schuereng, M. A. E. ;
von Meyenfeldt, M. ;
Zuercher, G. ;
Fietkau, R. ;
Aulbert, E. ;
Frick, B. ;
Holm, M. ;
Kneba, M. ;
Mestrom, H. J. ;
Zander, A. .
CLINICAL NUTRITION, 2006, 25 (02) :245-259
[2]   ASPEN Clinical Guidelines: Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoietic Cell Transplantation [J].
August, David Allen ;
Huhmann, Maureen B. .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2009, 33 (05) :472-500
[3]   GASTROSTOMY WITHOUT LAPAROTOMY - A PERCUTANEOUS ENDOSCOPIC TECHNIQUE [J].
GAUDERER, MWL ;
PONSKY, JL ;
IZANT, RJ .
JOURNAL OF PEDIATRIC SURGERY, 1980, 15 (06) :872-875
[4]  
Gomes Jr C. A., 2012, COCHRANE DB SYST REV, V14
[5]   Complications following gastrostomy tube insertion in patients with head and neck cancer: a prospective multi-institution study, systematic review and meta-analysis [J].
Grant, D. G. ;
Bradley, P. T. ;
Pothier, D. D. ;
Bailey, D. ;
Caldera, S. ;
Baldwin, D. L. ;
Birchall, M. A. .
CLINICAL OTOLARYNGOLOGY, 2009, 34 (02) :103-112
[6]   Early percutaneous endoscopic gastrostomy nutrition in head and neck cancer patients [J].
Hujala, K ;
Sipilä, J ;
Pulkkinen, J ;
Grenman, R .
ACTA OTO-LARYNGOLOGICA, 2004, 124 (07) :847-850
[7]   Does PEG Use Cause Dysphagia in Head and Neck Cancer Patients? [J].
Langmore, Susan ;
Krisciunas, Gintas P. ;
Miloro, Keri Vasquez ;
Evans, Steven R. ;
Cheng, Debbie M. .
DYSPHAGIA, 2012, 27 (02) :251-259
[8]   Prophylactic Percutaneous Endoscopic Gastrostomy Tube Placement in Treatment of Head and Neck Cancer: A Comprehensive Review and Call for Evidence-Based Medicine [J].
Locher, Julie L. ;
Bonner, James A. ;
Carroll, William R. ;
Caudell, Jimmy J. ;
Keith, Jeanette N. ;
Kilgore, Meredith L. ;
Ritchie, Christine S. ;
Roth, David L. ;
Tajeu, Gabriel S. ;
Allison, Jeroan J. .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2011, 35 (03) :365-374
[9]   PROGNOSTIC FACTORS IN ADVANCED HEAD AND NECK-CANCER PATIENTS UNDERGOING MULTIMODALITY THERAPY [J].
MICK, R ;
VOKES, EE ;
WEICHSELBAUM, RR ;
PANJE, WR .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1991, 105 (01) :62-73
[10]  
Ponsky JL, 1998, NUTRITION, V14, P736