Percutaneous endoscopic gastrostomy in head and neck cancer patients: indications, techniques, complications and results

Zuercher, Barbara F; Grosjean, Pierre; Monnier, Philippe (2011). Percutaneous endoscopic gastrostomy in head and neck cancer patients: indications, techniques, complications and results. European archives of oto-rhino-laryngology, 268(4), pp. 623-9. Berlin: Springer 10.1007/s00405-010-1412-y

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The aim of this study was to review our experience in percutaneous endoscopic gastrostomy (PEG) performed in patients with cancer of the upper aerodigestive tract. Descriptive retrospective study of 142 patients (115 males, 27 females), mean age 62.4 years (25-84 years), with head and neck or esophageal cancer, who underwent PEG tube insertion between January 2006 and December 2008. The studied parameters were indications, success rate, rate and type of complications, and their management. Percutaneous endoscopic gastrostomy was inserted before chemoradiation therapy in 80% and during or after cancer treatment in 20% of the patients. PEG placement was possible in 137 patients (96%). Major complications were observed in 9 (7%) and minor complications in 22 (17%) of the 137 patients. Seven of the 9 patients with a major complication needed revision surgery. The mortality directly related to the procedure was 0.7%. Percutaneous endoscopic gastrostomy tube insertion has a high success rate. In patients with upper aerodigestive tract cancer, PEG should be the first choice for enteral nutrition when sufficient oral intake is not possible. Although apparently easy, the procedure may occasionally lead to severe complications. Therefore, a strict technique and knowledge of clinical signs of possible complications are mandatory.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Zürcher, Barbara

ISSN:

0937-4477

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:21

Last Modified:

17 Mar 2015 19:28

Publisher DOI:

10.1007/s00405-010-1412-y

PubMed ID:

21046412

Web of Science ID:

000288218900024

URI:

https://boris.unibe.ch/id/eprint/7106 (FactScience: 212277)

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