Effectiveness of prophylactic percutaneous endoscopic gastrostomy for oropharyngeal cancer patients undergoing concurrent chemoradiotherapy

DOI 8 Citations 17 References
  • Teshima Masanori
    Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital
  • Tanimoto Hitoshi
    Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital
  • Saito Miki
    Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital
  • Otsuki Naoki
    Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital
  • Sasaki Ryohei
    Department of Radiology, Kobe University Hospital
  • Kiyota Naomi
    Department of Oncology, Kobe University Hospital
  • Okuno Shinya
    Department of Gastroenterology, Kobe University Hospital
  • Nibu Ken-ichi
    Department of Otolaryngology-Head and Neck Surgery, Kobe University Hospital

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Other Title
  • 中咽頭癌同時併用化学放射線療法における経皮内視鏡的胃瘻造設術の有用性

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Abstract

Patients with head and neck carcinoma are often provided concurrent chemoradiotherapy (CCRT), but they experience severe mucositis and dysphagia. These side effects can lead to decreased oral intake, resulting in interruption of treatment. In our hospital, from September 2007, all patients with oropharyngeal cancer who were to receive CCRT, were principally offered percutaneous endoscopic gastrostomy (PEG) before the start of treatment, and tube feeding was started when swallowing became impaired, to accomplish the treatment as planned. To evaluate the effect of prophylactic PEG, outcome measures in this study included the frequency of unplanned break from CCRT, nutritional deterioration and required analgesic during CCRT, complication of PEG, and patient satisfaction between 15 patients with PEG and 11 patients without PEG as a control group. Although no significant weight loss occurred in either group, there were fewer patients with a Body Mass Index < 18.5 in the PEG group after CCRT than in the control group. Regarding the treatment, most patients were satisfied with their PEG and considered that prophylactic PEG was necessary and helpful in completing the CCRT. This study suggests that prophylactic PEG helps patients to complete CCRT both mentally and nutritionally.

Journal

  • Toukeibu Gan

    Toukeibu Gan 35 (3), 287-292, 2009

    Japan Society for Head and Neck Cancer

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