BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is a relatively simple and safe method of providing access for enteral feeding. The procedure is usually performed in hospitalized patients. The feasibility of PEG as an outpatient procedure has not been well estabilished in the medical literature. The main objective of this study was to investigate the feasibility and safety of PEG as an outpatient procedure in a selected group of head and neck cancer patients. PATIENTS AND METHODS: In this prospective cohort study, head and neck cancer subjects in good clinical condition were selected and enrolled in a close follow-up protocol of outpatient PEG. The clinical and demographic variables evaluated were age, gender, early complications, and timing of PEG. RESULTS: Of a total of 136 PEG patients, 129 (94.8%) were discharged 3 h after the procedure. Three were excluded from the study and four were hospitalized because of moderate abdominal pain. The rate of minor complications was 17.6% (local pain, 7.4%; wound infection, 6.6%; abdominal pain, 2.9%; hematoma, 0.7%). Major complications occurred in 2.2% of the procedures (buried bumper syndrome, 1.5%; early tube displacement, 0.7%). There was no mortality. CONCLUSION: Ambulatory placement of gastrostomy tubes is viable and safe in head and neck cancer patients in good clinical condition. The early complication rates are similar to those described for hospitalized patients. Unnecessary admissions are avoided and costs of hospitalization are reduced.
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is a relatively simple and safe method of providing access for enteral feeding. The procedure is usually performed in hospitalized patients. The feasibility of PEG as an outpatient procedure has not been well estabilished in the medical literature. The main objective of this study was to investigate the feasibility and safety of PEG as an outpatient procedure in a selected group of head and neck cancerpatients. PATIENTS AND METHODS: In this prospective cohort study, head and neck cancer subjects in good clinical condition were selected and enrolled in a close follow-up protocol of outpatientPEG. The clinical and demographic variables evaluated were age, gender, early complications, and timing of PEG. RESULTS: Of a total of 136 PEGpatients, 129 (94.8%) were discharged 3 h after the procedure. Three were excluded from the study and four were hospitalized because of moderate abdominal pain. The rate of minor complications was 17.6% (local pain, 7.4%; wound infection, 6.6%; abdominal pain, 2.9%; hematoma, 0.7%). Major complications occurred in 2.2% of the procedures (buried bumper syndrome, 1.5%; early tube displacement, 0.7%). There was no mortality. CONCLUSION: Ambulatory placement of gastrostomy tubes is viable and safe in head and neck cancerpatients in good clinical condition. The early complication rates are similar to those described for hospitalized patients. Unnecessary admissions are avoided and costs of hospitalization are reduced.
Authors: Srinivasan Dubagunta; Christopher D Still; Arvind Kumar; Zahoor Makhdoom; Nicholas A Inverso; Ronald J Bross; Michael J Komar; Lisa Mulhisen; Joanne Z Rogers; Susan Whitmire; Bethann Whilden Journal: Nutr Clin Pract Date: 2002-04 Impact factor: 3.080
Authors: Felipe A Retes; Fabio S Kawaguti; Marcelo S de Lima; Bruno da Costa Martins; Ricardo S Uemura; Gustavo A de Paulo; Caterina Mp Pennacchi; Carla Gusmon; Adriana Vs Ribeiro; Elisa R Baba; Sebastian N Geiger; Mauricio P Sorbello; Marco A Kulcsar; Ulysses Ribeiro; Fauze Maluf-Filho Journal: United European Gastroenterol J Date: 2016-07-21 Impact factor: 4.623
Authors: Louise Deluiz Verdolin Di Palma; Gustavo Francisco de Souza E Mello; Cindy Lis Granados; Ricardo Dardengo Glória; Caroline Sauter Dalbem; Rolantre Lopes da Cruz; Ana Carolina Maron Ayres; Renata Sofia Camara Lisboa; Alexandre Dias Pelosi; Maria Aparecida Ferreira; Gilberto Reynaldo Mansur; Simone Guaraldi da Silva; Theresa Christina Damian Ribeiro; Fernando Luiz Dias Journal: Endosc Int Open Date: 2017-07-06
Authors: Chiang Jeng Tyng; Erich Frank Vater Santos; Luiz Felipe Alves Guerra; Almir Galvão Vieira Bitencourt; Paula Nicole Vieira Pinto Barbosa; Rubens Chojniak Journal: Radiol Bras Date: 2017 Mar-Apr