Open AccessThe importance of using the nutrition through endoscopic percutaneous gastrostomy in the management of patients with head and neck carcinoma
Author(s) -
Alina Georgiana Anghel,
Ion Anghel,
Mihai Dumitru,
Adriana Oana ANGHEL,
D Cristian,
T Burcoş
Publication year - 2015
Publication title -
romanian journal of medical practice
Language(s) - English
Resource type - Journals
eISSN - 2069-6108
pISSN - 1842-8258
DOI - 10.37897/rjmp.2015.2.12
Subject(s) - medicine , laryngectomy , percutaneous endoscopic gastrostomy , gastrostomy , surgery , peg ratio , percutaneous , carcinoma , tracheotomy , parenteral nutrition , general surgery , larynx , finance , economics
Background. Nowadays the newest method of nutrition in patients with head and neck carcinomas is the use of percutaneous endoscopic gastrostomy. Aim. Since 2012 we have actively implemented the use of Nutrison administered on PEG before and after the surgical removal of laryngeal or pharyngolaryngeal carcinomas. Material and method. We conducted a prospective descriptive study on 54 cases that benefited from prophylactic PEG placement. Results. Among the cases included in our study 28 underwent total laryngectomy with bilateral removal of lymph nodes, 23 patients required pharyngo-laryngectomy, 2 cases presented invading tonsilar carcinomas and 1 case with esophageal neoplasm received PEG for palliative purpose. Conclusions. The use of PEG is cost efficient lowering the number of in hospital stay days, permits the treatment of complex cases with multiple comorbidities and actively prevents the development of pharyngocutaneous fistulae.