کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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6054843 | 1198755 | 2015 | 7 صفحه PDF | دانلود رایگان |

- Proactive PEG did not lead to high proportion of long term tube dependence.
- Majority of patients with proactive PEG had good swallowing outcomes.
- Post PEG removal, nearly all patients tolerated thin fluids and over half tolerated a normal diet.
SummaryObjectivesThis study examined long term swallowing outcomes of a cohort of head and neck cancer (HNC) patients identified at high risk of experiencing significant side effects from cancer treatment and were provided with a proactive PEG.Material and MethodsNinety-five HNC patients receiving definitive or adjuvant radiotherapy +/â chemotherapy were identified for proactive PEG placement using validated guidelines and followed for up to 3Â years. Functional swallowing status was recorded at regular time points and data were collected on PEG use and duration in situ.ResultsMean duration of enteral feeding was 125Â days. PEGs remained in situ for approximately 7Â months. PEG removal was achieved by 52% by 6Â months and 86% by 1Â year. Only 3 (3%) remained PEG dependent at 3Â years. Over half (55%) had resumed a full non-texture modified diet by PEG removal.ConclusionProactive PEG placement did not lead to high proportion of long term tube dependence in this high risk group and the majority achieved good swallowing outcomes.
Journal: Oral Oncology - Volume 51, Issue 6, June 2015, Pages 622-628