Percutaneous endoscopic gastrostomy in head and neck cancer patients |
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Authors: | Riera L Sandiumenge A Calvo C Bordas J M Alobid I Llach J Bernal M |
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Affiliation: | Department of Otorhinolaryngology, Hospital Clinic, Barcelona, Spain. 311901rg@comb.es |
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Abstract: | OBJECTIVE: To present our experience with the indications and complications of percutaneous endoscopic gastrostomy (PEG) in head and neck cancer patients. MATERIALS AND METHODS: In a retrospective study of the patients treated, we reviewed the records of 43 patients diagnosed with head and neck cancer at the Otorhinolaryngology Department, in which a PEG was performed by the Unit of Digestive Endoscopy. RESULTS: All cases had squamous cell carcinoma. Larynx was the most frequent primary site, with 21 cases (49%), followed by hypopharynx, 12 patients (28%). Indications for PEG were: dysphagia (53.5%) and pharyngocutaneous fistula (43.5%). The most frequent complication was a local infection. CONCLUSION: PEG is a good choice for long-term enteral feeding in head and neck cancer patients due to its low complication rate and easy handling. |
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