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Percutaneous endoscopic gastrostomy in head and neck cancer patients
L Riera1, A Sandiumenge, C Calvo
1Department of Otorhinolaryngology, Hospital Clinic, Barcelona, Spain. 311901rg@comb.es
Objective:
To present our experience with the indications and complications of percutaneous endoscopic gastrostomy (PEG) in head and neck cancer patients.
Materials And Methods:
In a retrospective study of the patients treated, we reviewed the records of 43 patients diagnosed with head and neck cancer at the Otorhinolaryngology Department, in which a PEG was performed by the Unit of Digestive Endoscopy.
Results:
All cases had squamous cell carcinoma. Larynx was the most frequent primary site, with 21 cases (49%), followed by hypopharynx, 12 patients (28%). Indications for PEG were: dysphagia (53.5%) and pharyngocutaneous fistula (43.5%). The most frequent complication was a local infection.
Conclusion:
PEG is a good choice for long-term enteral feeding in head and neck cancer patients due to its low complication rate and easy handling.