Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer
Joint Authors
Musumba, Crispin O.
Hsu, Julia
Ahlenstiel, Golo
Tutticci, Nicholas J.
Nanda, Kavinderjit S.
van der Poorten, David
Lee, Eric Y.
Kwan, Vu
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Percutaneous endoscopic gastrostomy (PEG) placement using the “pull” technique is commonly utilized for providing nutritional support in head and neck cancer (HNC) patients, but it may be complicated by peristomal metastasis in up to 3% of patients.
Overtube-assisted PEG placement might reduce this risk.
However, this technique has not been systemically studied for this purpose to date.
Methods.
Retrospective analysis of consecutive patients with HNC who underwent overtube-assisted PEG placement at Westmead Hospital, Australia, between June 2011 and December 2013.
Data were extracted from patients’ endoscopy reports and case notes.
We present our technique for PEG insertion and discuss the feasibility and safety of this method.
Results.
In all 53 patients studied, the PEG tubes were successfully placed using 25 cm long flexible overtubes, in 89% prophylactically (before commencing curative chemoradiotherapy), and in 11% reactively (for treatment of tumor related dysphagia or weight loss).
During a median follow-up period of 16 months, 3 (5.7%) patients developed peristomal infection and 3 others developed self-limiting peristomal pain.
There were no cases of overtube-related adverse events or overt cutaneous metastases observed.
Conclusions.
Overtube-assisted PEG placement in patients with HNC is a feasible, simple, and safe technique and might be effective for preventing cutaneous metastasis.
American Psychological Association (APA)
Musumba, Crispin O.& Hsu, Julia& Ahlenstiel, Golo& Tutticci, Nicholas J.& Nanda, Kavinderjit S.& van der Poorten, David…[et al.]. 2015. Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064067
Modern Language Association (MLA)
Musumba, Crispin O.…[et al.]. Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer. Gastroenterology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1064067
American Medical Association (AMA)
Musumba, Crispin O.& Hsu, Julia& Ahlenstiel, Golo& Tutticci, Nicholas J.& Nanda, Kavinderjit S.& van der Poorten, David…[et al.]. Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064067
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064067