Gastrostomy insertion in head and neck cancer patients: a 3 year review of insertion method and complication rates

The British Journal of Oral & Maxillofacial Surgery
P McAllisterB Makubate

Abstract

Patients with head and neck cancer who have resection, radiotherapy, chemoradiotherapy, or a combination of these require nutritional support to be implemented before treatment, and this may involve insertion of a prophylactic gastrostomy feeding tube. The aim of this study was to compare the use and complication rates of percutaneous endoscopic gastrostomy (PEG) and radiologically inserted gastrostomy (RIG) in these patients at a tertiary referral centre. We retrospectively reviewed gastrostomy data forms completed by nutritional support nursing staff over a recent 34-month period, which included information on method of insertion, 30-day postoperative serious and minor complications, and mortality. A total of 110 patients had prophylactic insertion of a gastrostomy (21 PEG, 89 RIG) over the study period. In the first 12 months 13 (31%) PEG feeding tubes were placed but in the last 12 months none were inserted using an endoscopic approach. Serious complications occurred with 2 (10%) PEG and 12 (13%) RIG; the most common cause was accidental removal of the tube (n=13, 12%). Minor complications of peristomal infection, leakage, or blockage of the tube occurred in 6 (5%) gastrostomies. No patients died during the study period. In...Continue Reading

References

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Citations

Jan 9, 2016·The British Journal of Oral & Maxillofacial Surgery·Miles Bannister
Aug 12, 2016·Journal of Medical Radiation Sciences·Sarah Bishop, Warren Michael Reed
May 16, 2015·Gastroenterology Research and Practice·Crispin O MusumbaVu Kwan
Jan 16, 2015·Current Opinion in Gastroenterology·Carthage Moran, Seamus O'Mahony
Apr 22, 2017·Radiologia brasileira·Chiang Jeng TyngRubens Chojniak
May 31, 2019·JPEN. Journal of Parenteral and Enteral Nutrition·Rana Elcin SezerSevilay Senol Celik
Feb 13, 2015·Clinical Endoscopy·Katerina Kotzampassi, George Stavrou
Feb 19, 2015·Current Opinion in Otolaryngology & Head and Neck Surgery·Paula T BradleyVinidh Paleri
Aug 14, 2019·Journal of Medical Imaging and Radiation Oncology·Priya CherianNigel Mott
Jul 13, 2021·Geriatrics & Gerontology International·Kazu HamadaMasashi Okuro
Jul 8, 2021·Cardiovascular and Interventional Radiology·Gilbert MarounElizabeth David

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