Swallowing outcomes and PEG dependence in head and neck cancer patients receiving definitive or adjuvant radiotherapy +/− chemotherapy with a proactive PEG: A prospective study with long term follow up

Highlights • 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.

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Bibliographic Details
Published in:	Oral oncology Vol. 51; no. 6; pp. 622 - 628
Main Authors:	Crombie, Jane M, Ng, Stephanie, Spurgin, Ann-Louise, Ward, Elizabeth C, Brown, Teresa E, Hughes, Brett G.M
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-06-2015
Subjects:	Adult Aged Aged, 80 and over Cancer Chemoradiotherapy Deglutition - physiology Deglutition Disorders - etiology Enteral Nutrition - statistics & numerical data Female Follow-Up Studies Head and Neck Neoplasms - complications Head and Neck Neoplasms - therapy Hematology, Oncology and Palliative Medicine Humans Male Malnutrition - prevention & control Middle Aged Otolaryngology PEG Proactive Prospective Studies Radiotherapy Radiotherapy, Adjuvant Swallowing Time Factors Treatment Outcome Proactive PEG Swallowing Radiotherapy Chemoradiotherapy Cancer
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Summary:	Highlights • 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.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	1368-8375 1879-0593
DOI:	10.1016/j.oraloncology.2015.03.006