Experience with percutaneous endoscopic gastrostomy on an otolaryngology service.
Seventy-one patients have undergone percutaneous endoscopic gastrostomy (PEG) on our otolaryngology service. Most commonly, these were neurologically-impaired (63%) or head and neck cancer (31%) patients. The PEG procedures were done, in almost all instances, in the operating room in conjunction with other indicated ORL-HNS procedures such as tracheotomy (71%) or with endoscopy or resection for head and neck cancer. The success rate in placement of the gastrostomy was 98%. There was one major complication, namely, seeding of the gastrostomy site with squamous cell carcinoma from a hypopharyngeal tumor. We conclude that PEG is a useful addition to the armamentarium of the head and neck surgeon.
Wilson
W R
WR
George Washington University Medical Center, Washington, DC 20037, USA.
Hariri
S M
SM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000295:instrumentation*; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D010039:Otorhinolaryngologic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology