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Percutaneous endoscopic gastrostomy in the management of head and neck carcinoma.
Laryngoscope. 1992 Sep; 102(9):977-80.L

Abstract

In patients undergoing resection of head and neck malignancies, structural and functional deficits commonly preclude adequate oral nutrition and prolong hospital stay. To address this issue, the benefit of routine preoperative placement of percutaneous endoscopic gastrostomy (PEG) was studied in a group of these patients. The postoperative course of 89 patients undergoing primary resection of advanced (stage III and IV) squamous cell carcinomas of the upper aerodigestive tract was examined. The hospital stay was reduced by up to 61% with PEG compared to hospital stay with standard nasogastric tube (NGT) alimentation. The difference was statistically significant for primary sites involving the larynx and pharynx, but not for lesions of the oral cavity. For tongue base tumors, there was a trend toward reduced hospitalization which did not reach statistical significance. The fistulization rate was unchanged. The complication rate for PEG was 5%, and morbidity was less with PEG than with NGT. The authors recommend the preoperative placement of PEGs for all patients with advanced carcinomas of the larynx, hypopharynx, and oropharynx.

Authors+Show Affiliations

Department of Otolaryngology, Head and Neck Surgery, University of Illinois College of Medicine, Chicago.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1518361

Citation

Gibson, S, and B L. Wenig. "Percutaneous Endoscopic Gastrostomy in the Management of Head and Neck Carcinoma." The Laryngoscope, vol. 102, no. 9, 1992, pp. 977-80.
Gibson S, Wenig BL. Percutaneous endoscopic gastrostomy in the management of head and neck carcinoma. Laryngoscope. 1992;102(9):977-80.
Gibson, S., & Wenig, B. L. (1992). Percutaneous endoscopic gastrostomy in the management of head and neck carcinoma. The Laryngoscope, 102(9), 977-80.
Gibson S, Wenig BL. Percutaneous Endoscopic Gastrostomy in the Management of Head and Neck Carcinoma. Laryngoscope. 1992;102(9):977-80. PubMed PMID: 1518361.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous endoscopic gastrostomy in the management of head and neck carcinoma. AU - Gibson,S, AU - Wenig,B L, PY - 1992/9/1/pubmed PY - 1992/9/1/medline PY - 1992/9/1/entrez SP - 977 EP - 80 JF - The Laryngoscope JO - Laryngoscope VL - 102 IS - 9 N2 - In patients undergoing resection of head and neck malignancies, structural and functional deficits commonly preclude adequate oral nutrition and prolong hospital stay. To address this issue, the benefit of routine preoperative placement of percutaneous endoscopic gastrostomy (PEG) was studied in a group of these patients. The postoperative course of 89 patients undergoing primary resection of advanced (stage III and IV) squamous cell carcinomas of the upper aerodigestive tract was examined. The hospital stay was reduced by up to 61% with PEG compared to hospital stay with standard nasogastric tube (NGT) alimentation. The difference was statistically significant for primary sites involving the larynx and pharynx, but not for lesions of the oral cavity. For tongue base tumors, there was a trend toward reduced hospitalization which did not reach statistical significance. The fistulization rate was unchanged. The complication rate for PEG was 5%, and morbidity was less with PEG than with NGT. The authors recommend the preoperative placement of PEGs for all patients with advanced carcinomas of the larynx, hypopharynx, and oropharynx. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/1518361/Percutaneous_endoscopic_gastrostomy_in_the_management_of_head_and_neck_carcinoma_ L2 - https://doi.org/10.1288/00005537-199209000-00004 DB - PRIME DP - Unbound Medicine ER -