scholarly journals Feasibility and Safety of Overtubes for PEG-Tube Placement in Patients with Head and Neck Cancer

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Crispin O. Musumba ◽  
Julia Hsu ◽  
Golo Ahlenstiel ◽  
Nicholas J. Tutticci ◽  
Kavinderjit S. Nanda ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cutaneous Metastasis ◽  
Tube Placement ◽  
Endoscopic Gastrostomy ◽  
Peristomal Infection ◽  
Westmead Hospital ◽  
Safe Technique ◽  
Peg Tube

Background. Percutaneous endoscopic gastrostomy (PEG) placement using the “pull” technique is commonly utilized for providing nutritional support in head and neck cancer (HNC) patients, but it may be complicated by peristomal metastasis in up to 3% of patients. Overtube-assisted PEG placement might reduce this risk. However, this technique has not been systemically studied for this purpose to date.Methods. Retrospective analysis of consecutive patients with HNC who underwent overtube-assisted PEG placement at Westmead Hospital, Australia, between June 2011 and December 2013. Data were extracted from patients’ endoscopy reports and case notes. We present our technique for PEG insertion and discuss the feasibility and safety of this method.Results. In all 53 patients studied, the PEG tubes were successfully placed using 25 cm long flexible overtubes, in 89% prophylactically (before commencing curative chemoradiotherapy), and in 11% reactively (for treatment of tumor related dysphagia or weight loss). During a median follow-up period of 16 months, 3 (5.7%) patients developed peristomal infection and 3 others developed self-limiting peristomal pain. There were no cases of overtube-related adverse events or overt cutaneous metastases observed.Conclusions. Overtube-assisted PEG placement in patients with HNC is a feasible, simple, and safe technique and might be effective for preventing cutaneous metastasis.

Sa1628 Safety and Efficacy of Overtubes for Preventing Cutaneous Metastasis During PEG Tube Placement in Patients With Head and Neck Cancer: a Single-Center Study

2014 ◽  
Vol 79 (5) ◽  
pp. AB280
Author(s):  
Crispin O. Musumba ◽  
Chiao-Yun (Julia) Hsu ◽  
Golo Ahlenstiel ◽  
Nicholas J. Tutticci ◽  
Kavinderjit S. Nanda ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cutaneous Metastasis ◽  
Tube Placement ◽  
Single Center ◽  
Safety And Efficacy ◽  
Single Center Study ◽  
Peg Tube ◽  
Center Study

scholarly journals Metastatic Implantation of Head and Neck Squamous Cell Cancer at PEG Tube Site Exit— An Unusual Relapse Site: A Case Report and Review of Literature

2011 ◽  
Vol 2 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Vijay Palwe ◽  
Kaustav Talpatra ◽  
Umesh Mahantshetty ◽  
Seethalaxmi Viswanathan
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Squamous Cell ◽  
Gastrostomy Tube ◽  
Tube Placement ◽  
Endoscopic Gastrostomy ◽  
Gastrostomy Tube Placement ◽  
Peg Tube

ABSTRACT Background The placement of percutaneous endoscopic gastrostomy (PEG) tubes is a common procedure in patients with head and neck cancer who require adequate nutrition because of the inability to swallow before or after surgery and adjuvant therapies. A potential complication of percutaneous endoscopic gastrostomy tubes is the metastatic spread from the original head and neck tumor to the gastrostomy site. Methods This is a case of a 55-year-old male with a (cT4N3M0) stage IV squamous cell carcinoma of the oropharynx who underwent percutaneous endoscopic gastrostomy tube placement prior to commencement of definitive chemoradiation therapy and 7 months thereafter developed metastatic spread to the gastrostomy site. Tumor was treated with radiation therapy. A review of the published literature regarding the subject is done. The pull-through method of gastrostomy tube placement had been used in our patient as well as in the majority of the other cases reviewed in the literature. Conclusions There is a small but definite risk for tumor implantation in the gastrostomy site when using the pull technique in patients with active head and neck cancer. The direct implantation of tumor through instrumentation is the most likely explanation for metastasis; however, hematogenous seeding is also a possibility. Careful assessment of the oropharynx and hypopharynx before PEG tube placement and the use of alternative techniques for enteral access in patients with untreated or residual malignancy are recommended to minimize this risk.

Technical modifications for improving the success rate of PEG tube placement in patients with head and neck cancer

2001 ◽  
Vol 54 (5) ◽  
pp. 633-636 ◽  
Author(s):  
András Taller ◽  
Emília Horvath ◽  
Lajos Iliás ◽  
Zsuzsa Kótai ◽  
Mária Simig ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Success Rate ◽  
Neck Cancer ◽  
Tube Placement ◽  
Technical Modifications ◽  
Peg Tube

scholarly journals Comparison of Open Gastrostomy and Percutaneous Endoscopic Gastrostomy in Head and Neck Cancer Patients, Tertiary Care Hospital Experience

2021 ◽  
Vol 5 (4) ◽  
pp. 166-170
Author(s):  
Talha Ahmed Qureshi ◽  
◽  
Shabir Akhtar ◽  
Sohail Awan ◽  
Amir Sharif ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Tertiary Care ◽  
Ethical Review ◽  
Care Hospital ◽  
Endoscopic Gastrostomy ◽  
Peristomal Infection

Abstract: Objective: The current study was conducted to review and compare PEG and Gastrostomy in terms of early complications in head and neck cancer patients. Materials and Methods: This was prospective comparative study recruited total 60 patients as per the inclusion criteria, 30 in each group. Patients were assigned to the groups based on the surgeon’s choice. Ethical clearance was taken from ethical review board. Informed consent was taken from patients before enrolling them into the study. Non-probability consecutive sampling technique was used to enroll study participants. Data was collected on pre-designed performa and analyzed using SPSS version 16. Setting: Section of Otolaryngology, Department of Surgery, Aga Khan University Hospital Karachi. Results: The two groups did not differ on basis of age, gender and tumor site. The outcomes variables including pain and bleeding from post-operative day1 to day 5 were significantly lower in patients who underwent PEG placement as compared to patients whom we performed OPEN gastrostomy. None the patient had peristomal infection in PEG group throughout the study. However, difference between the groups was statistically significant from post-operative day 3 to day 5. Conclusion: In our study, PEG was associated with lesser complications than open gastrostomy. Recently clinicians are using newer modalities like radiological and laparoscopic gastrostomy at various centres in Pakistan as the first option for placing feeding gastrostomy. Therefore, future studies are warranted to compare their efficacy and post-operative complications PEG. Keywords: Head and neck cancer, Open gastrostomy, Percutaneous endoscopic gastrostomy, Complications, Pain, Peristomal infection, Bleeding

Use of percutaneous endoscopic gastrostomy (PEG) tube feeding support in head and neck cancer patients.

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. e18062-e18062
Author(s):  
Ramla Namisango Kasozi ◽  
Anita Choudhary ◽  
Kelly Andrus ◽  
Richard C.K. Wong ◽  
Rory Eric Randall ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Neck Cancer ◽  
Tube Feeding ◽  
Endoscopic Gastrostomy ◽  
Peg Tube
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