Repeat PEG placement is safe for head and neck cancer patients.

Autor: Nicholl MB; Department of Surgery, University of Missouri, Columbia, MO, USA; Division of Surgical Oncology, Columbia, MO, USA; Ellis Fischel Cancer Center, Columbia, MO, USA. Electronic address: nichollm@health.missouri.edu., Lyons DA; Department of Surgery, University of Missouri, Columbia, MO, USA., Wheeler AA; Department of Surgery, University of Missouri, Columbia, MO, USA., Jorgensen JB; Ellis Fischel Cancer Center, Columbia, MO, USA; Department of Otolaryngology-Head and Neck Surgery, University of Missouri, Columbia, MO, USA.
Jazyk: angličtina
Zdroj: American journal of otolaryngology [Am J Otolaryngol] 2014 Mar-Apr; Vol. 35 (2), pp. 89-92. Date of Electronic Publication: 2013 Dec 12.
DOI: 10.1016/j.amjoto.2013.12.001
Abstrakt: Purpose: Percutaneous endoscopic gastrostomy (PEG) provides durable nutritional access for head and neck (HNC) patients as they undergo treatment. Continuing treatment of HNC may necessitate repeat PEG placement. We report our outcomes with repeat PEG compared to first-time PEG in HNC patients.
Materials and Methods: A retrospective chart review identified morbidity, mortality, and possible risk factors for complications.
Results: Repeat PEG tubes constituted 17% of PEG procedures. Morbidity was rare and similar complication rates were found between the initial PEG and repeat PEG groups (2% vs. 11%, p=0.131). There were no mortalities.
Conclusions: Repeat PEG plays an important role in the care of HNC patients and can be considered a safe means to establish durable enteric feeding access for patients with recurrent cancer or treatment complications.
(Copyright © 2013 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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