Complications of Gastrostomy Tubes in Patients With Head and Neck Cancer
© 2022 The American Laryngological, Rhinological and Otological Society, Inc..
OBJECTIVES: Head and neck cancers (HNCs) include various malignant tumors of the upper aerodigestive tract. Due to their anatomical location, HNCs can cause obstruction, odynophagia, or trismus, leading to dysphagia. In addition, this patient group may be vulnerable to treatment side effects both by surgery and oncological treatment, exposing the patients to an even higher risk of malnutrition. The risk of malnourishment is often resolved by applying a feeding gastrostomy tube. The present study aims to identify complication rates after percutaneous endoscopic gastrostomy (PEG) and open gastrostomy (OG) in patients treated for HNC in a high-volume center.
STUDY DESIGN: Retrospective cohort study.
METHODS: A retrospective cohort study of all patients treated for a new diagnosis of HNC at the Department of Otorhinolaryngology and Head and Neck Surgery at Karolinska University Hospital between January 1, 2000 and December 31, 2018 in whom gastrostomy was performed.
RESULTS: Regarding tumor location, 165 (56.7%) were in the pharynx, 68 (23.4%) in the oral cavity, 57 (19.6%) in the larynx, and 1 (0.3%) in the nasal cavity. PEG was performed in 240 (82.5%) and OG in 51 (17.5%) patients. The overall complication rate was 28.2%: 64 (26.7%) among PEG patients and 18 (35.3%) among OG patients. The incidence of major complications was 3.1%.
CONCLUSIONS: Our study confirms that enteral feeding via gastrostomy is a safe method, regardless of the technique used (PEG or OG), with a low rate of major complications and no mortality linked to the procedure.
LEVEL OF EVIDENCE: 3 Laryngoscope, 132:1778-1784, 2022.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:132 |
|---|---|
| Enthalten in: |
The Laryngoscope - 132(2022), 9 vom: 01. Sept., Seite 1778-1784 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Vujasinovic, Miroslav [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Enteral nutrition |
|---|
| Anmerkungen: |
Date Completed 19.08.2022 Date Revised 23.08.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1002/lary.30017 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM33575967X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM33575967X | ||
| 003 | DE-627 | ||
| 005 | 20231225230608.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1002/lary.30017 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1119.xml |
| 035 | |a (DE-627)NLM33575967X | ||
| 035 | |a (NLM)35041225 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Vujasinovic, Miroslav |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Complications of Gastrostomy Tubes in Patients With Head and Neck Cancer |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 19.08.2022 | ||
| 500 | |a Date Revised 23.08.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The American Laryngological, Rhinological and Otological Society, Inc. | ||
| 520 | |a OBJECTIVES: Head and neck cancers (HNCs) include various malignant tumors of the upper aerodigestive tract. Due to their anatomical location, HNCs can cause obstruction, odynophagia, or trismus, leading to dysphagia. In addition, this patient group may be vulnerable to treatment side effects both by surgery and oncological treatment, exposing the patients to an even higher risk of malnutrition. The risk of malnourishment is often resolved by applying a feeding gastrostomy tube. The present study aims to identify complication rates after percutaneous endoscopic gastrostomy (PEG) and open gastrostomy (OG) in patients treated for HNC in a high-volume center | ||
| 520 | |a STUDY DESIGN: Retrospective cohort study | ||
| 520 | |a METHODS: A retrospective cohort study of all patients treated for a new diagnosis of HNC at the Department of Otorhinolaryngology and Head and Neck Surgery at Karolinska University Hospital between January 1, 2000 and December 31, 2018 in whom gastrostomy was performed | ||
| 520 | |a RESULTS: Regarding tumor location, 165 (56.7%) were in the pharynx, 68 (23.4%) in the oral cavity, 57 (19.6%) in the larynx, and 1 (0.3%) in the nasal cavity. PEG was performed in 240 (82.5%) and OG in 51 (17.5%) patients. The overall complication rate was 28.2%: 64 (26.7%) among PEG patients and 18 (35.3%) among OG patients. The incidence of major complications was 3.1% | ||
| 520 | |a CONCLUSIONS: Our study confirms that enteral feeding via gastrostomy is a safe method, regardless of the technique used (PEG or OG), with a low rate of major complications and no mortality linked to the procedure | ||
| 520 | |a LEVEL OF EVIDENCE: 3 Laryngoscope, 132:1778-1784, 2022 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Enteral nutrition | |
| 650 | 4 | |a head and neck cancer | |
| 650 | 4 | |a open gastrostomy | |
| 650 | 4 | |a percutaneous endoscopic gastrostomy | |
| 700 | 1 | |a Marsk, Elin |e verfasserin |4 aut | |
| 700 | 1 | |a Tsolakis, Apostolos V |e verfasserin |4 aut | |
| 700 | 1 | |a Hynning, Boel |e verfasserin |4 aut | |
| 700 | 1 | |a Nordberg, Martin |e verfasserin |4 aut | |
| 700 | 1 | |a Lindblad, Mats |e verfasserin |4 aut | |
| 700 | 1 | |a Lindqvist, Catarina |e verfasserin |4 aut | |
| 700 | 1 | |a Nordenvall, Lalle H |e verfasserin |4 aut | |
| 700 | 1 | |a Bark, Rusana |e verfasserin |4 aut | |
| 700 | 1 | |a Elbe, Peter |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t The Laryngoscope |d 1945 |g 132(2022), 9 vom: 01. Sept., Seite 1778-1784 |w (DE-627)NLM000205370 |x 1531-4995 |7 nnns |
| 773 | 1 | 8 | |g volume:132 |g year:2022 |g number:9 |g day:01 |g month:09 |g pages:1778-1784 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1002/lary.30017 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 132 |j 2022 |e 9 |b 01 |c 09 |h 1778-1784 | ||