Comparison of the pull and introducer percutaneous endoscopic gastrostomy techniques in patients with head and neck cancer

United European Gastroenterology Journal
F A RetesF Maluf-Filho

Abstract

Percutaneous endoscopic gastrostomy (PEG) in head and neck cancer (HNC) patients is associated with higher complication and mortality rates when compared to a general patient population. The pull technique is still the preferred technique worldwide but it has some limitations. The aim of this study is to compare the pull and introducer PEG techniques in patients with HNC. This study is based on a retrospective analysis of a prospectively collected database of 309 patients with HNC who underwent PEG in the Cancer Institute of São Paulo. The procedure was performed with the standard endoscope in 205 patients and the introducer technique was used in 137 patients. There was one procedure-related mortality. Age, sex and albumin level were similar in both groups. However in the introducer technique group, patients had a higher tumor stage, a lower Karnofsky status, and presented more frequently with tracheostomy and trismus. Overall, major, minor, immediate and late complications and 30-day mortality rates were similar but the introducer technique group presented more minor bleeding and tube dysfunctions. The push and introducer PEG techniques seem to be both safe and effective but present different complication profiles. The choice ...Continue Reading

References

Apr 1, 1992·The Annals of Otology, Rhinology, and Laryngology·D A Riley, M Strauss
Jul 1, 1984·American Journal of Surgery·T R RussellF Norris
Dec 1, 1980·Journal of Pediatric Surgery·M W GaudererR J Izant
Jun 28, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·W E Pofahl, F Ringold
Jun 15, 2006·The American Journal of Gastroenterology·Arno J DormannPeter Malfertheiner
Apr 4, 2007·Surgical Endoscopy·Jeffrey M MarksMichael F McGee
Apr 4, 2007·Surgical Endoscopy·Yoichi ToyamaKatsuhiko Yanaga
Mar 6, 2009·Surgical Endoscopy·Gustavo Francisco de Souza e MelloGilberto Reynaldo Mansur
May 6, 2009·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·D G GrantM A Birchall
Oct 22, 2010·JPEN. Journal of Parenteral and Enteral Nutrition·Mohammad R TaheriDonald R Duerksen
Dec 9, 2010·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Krishdeep Singh ChadhaMichael D Sitrin
Nov 15, 2011·European Journal of Gastroenterology & Hepatology·Atsushi YagishitaHiroyuki Ono
Mar 1, 2012·Gastrointestinal Endoscopy·Paulo Moacir Oliveira CampoliMarilia Dalva Turchi
Sep 19, 2012·Gastrointestinal Endoscopy·Tamir Ben-MenachemBrooks D Cash
Apr 20, 2014·Current Opinion in Supportive and Palliative Care·S A C KraaijengaF J M Hilgers
Dec 3, 2014·Gastrointestinal Endoscopy·Mouen A KhashabBrooks D Cash

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.