Prophylactic percutaneous endoscopic gastrostomy in patients with head and neck cancer: Influence on nutritional status, utilisation rate and complications

• DOI: 10.1111/ijcp.13405
• Publication Date: 2019-08-13T14:40:38Z
• Authors: Johannes Hausmann; Alica Kubesch; Jens Müller von d...; Carmen M. Goettlich; Natalie Filmann; Andrea Oliver Tal; Johannes Vermehren; Mireen Friedrich‐...; Astrid Wächtershä...; Jörg Bojunga; Irina Blumenstein
• Keywords: Percutaneous endoscopic gastrostomy; Feeding tube

Patients with head and neck cancer (HNC) are at high risk for malnutrition because of tumour localisation therapy. Prophylactic percutaneous endoscopic gastrostomy (PEG) tube placement is common practice to prevent malnutrition.To investigate the benefits prophylactic PEG HNC patients in terms influence on patients' nutritional status, utilisation rate, complications identify predictors utilisation.All consecutive who underwent insertion between 1 January 2011 31 December 2012 prior therapy were enrolled. The complications, status evaluated help electronic patient charts telephone interviews.A total 181 (48 female, median 67.5 years) included. rate entire cohort was 91.7%. One hundred forty-nine (82.3%) used enteral nutrition, 17 (9.4%) supplemental nutrition 15 (8.3%) made no use tube. Peristomal wound infections most (40.3%) this study. A Nutritional Risk Screening (NRS) score found be independently associated utilisation. No significant weight changes observed across three subgroups.The overall However, given infections, diligent selection crucial order determine which benefit from insertion.