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Prophylactic PEG placement in head and neck cancer:How many feeding tubes are unused (and unnecessary)?

World Journal of Gastroenterology 2011年第8期17卷 1004-1008页

作者： Mohammad F Madhoun Matt M Blankenship Derek M Blankenship greg a krempl William M Tierney Section of Gastroenterology Department of Internal Medicine University of Oklahoma Health Sciences Center Department of Biostatistics Institute for Health Care Research and ImprovementBaylor Health care System Department of Otorhinolaryngology University of Oklahoma Health Sciences Center

AIM:To determine the rate of use and non-use of prophylactic percutaneous endoscopic gastrostomy(PEG) tubes among patients with head and neck cancer(HNC) ***:All patients with HNC undergoing PEG between January 01,2004 and June 30,2006 were ***(or their next-of-kin) were surveyed by phone and all available medical records and cancer registry data were *** PEG was def ined as placement in the absence of dysphagia and prior to radiation or *** patient with a prophylactic PEG was assessed for cancer diagnosis,type of therapy,PEG use,and complications related to ***:One hundred and three patients had PEG tubes placed for *** four patients(33%) could not be contacted for *** the 23(22.3%) patients with prophylactic PEG tubes,11/23(47.8%) either never used the PEG or used it for less than 2 *** association with PEG use vs non-use was observed for cancer diagnosis,stage,or specific cancer ***-use or limited use was observed in 3/6(50%) treated with radiation alone vs 8/17(47.1%) treated with chemoradiation(P = 1.0),and 3 of 10(30%) treated with surgery vs 8 of 13(62%) not treated with surgery(P = 0.21).Minor complications were reported in 5/23(21.7%).One(4.3%) major complication was ***:There is a high rate of unnecessary PEG placement when done prophylactically in patients with head and neck cancer.

关键词： Head and neck cancer Percutaneous gastrostomy tube Prophylactic

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