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Related Experiment Videos

Nutrition support after total laryngectomy

G Iovinelli1, I Marsili, G Varrassi

  • 1Department of Anesthesiology and Intensive Care, University of L'Aquila, Italy.

JPEN. Journal of Parenteral and Enteral Nutrition
|September 1, 1993
PubMed
Summary

Enteral nutrition via percutaneous endoscopic gastrostomy (PEG) and parenteral nutrition offer similar nutritional status post-total laryngectomy. PEG feeding resulted in fewer complications and shorter hospital stays compared to parenteral nutrition.

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Area of Science:

  • Oncology
  • Gastroenterology
  • Surgical Nutrition

Background:

  • Total laryngectomy patients require specialized nutritional support to maintain nutritional status and minimize complications.
  • Enteral nutrition (EN) and parenteral nutrition (PN) are common methods, each with potential benefits and drawbacks.

Purpose of the Study:

  • To compare the efficacy of enteral nutrition (EN) via percutaneous endoscopic gastrostomy (PEG) versus parenteral nutrition (PN) in patients undergoing total laryngectomy.
  • To evaluate the impact of these feeding methods on nutritional status, postoperative complications, and length of hospitalization.

Main Methods:

  • A randomized study involving 48 patients undergoing total laryngectomy.
  • Group A received EN via PEG with a casein and soy-based formula.

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  • Group B received PN through a subclavian venous catheter with a balanced formula.

    • Main Results:

    • Both EN and PN groups demonstrated satisfactory preservation of nutritional status post-surgery.
    • No significant differences were observed in nutritional parameters between the EN and PN groups.
    • PEG feeding was well-tolerated, associated with fewer clinically significant complications than PN, and a shorter hospitalization (26 days vs. 34 days, p < .05).

    Conclusions:

    • Percutaneous endoscopic gastrostomy (PEG) is a viable and potentially advantageous route for enteral nutrition in total laryngectomy patients.
    • PEG feeding may lead to reduced complications and shorter hospital stays compared to parenteral nutrition in this patient population.
    • Both feeding modalities effectively support nutritional status after total laryngectomy.