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


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


Sep 30, 2003·Journal of Vascular and Interventional Radiology : JVIR·David SacksCurtis A Lewis
Jun 20, 2006·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Domenick ColettiStephen Engroff
Nov 19, 2008·Archives of Otolaryngology--head & Neck Surgery·Jesse E SmithKeith E Blackwell
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 20, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Andrew J BarberSimon N Rogers
Dec 8, 2009·European Journal of Gastroenterology & Hepatology·John S LeedsDavid S Sanders
Nov 4, 2010·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Barbara F ZuercherPhilippe Monnier
Dec 6, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·David R JackTaimur Shoaib

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