Percutaneous endoscopic gastrostomy for long-term feeding of patients with oropharyngeal tumors.
Secondary malnutrition in patients with oropharyngeal tumors can be the cause of substantial morbidity. The present, prospective study examined 30 patients receiving treatment for an oropharyngeal tumor. Percutaneous endoscopic gastrostomy (PEG) was performed 1 wk prior to the start of therapy in 15 patients, and 15 patients were temporarily fed by nasogastric tube after surgery. Anthropometric and laboratory parameters were measured in both patient groups at five defined times. Based on these parameters, the nutritional status of the PEG patients was found to be substantially better. The present study was able to show that the prophylactic placement of a PEG tube greatly improves the nutritional status of the patients before and after surgery and minimizes the catabolism of the body's fat depots.
Anwander
Thomas
T
Department of Oral and Maxillofacial Surgery, Bonn University Hospital, Germany. Anwander@uni-bonn.de
Bergé
Stefaan
S
Appel
Thorsten
T
von Lindern
Jens-Jörg
JJ
Martini
Markus
M
Mommsen
Jens
J
Kipnowski
Jochen
J
Niederhagen
Bernd
B
D000886:Anthropometry; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009748:Nutrition Disorders / Q000628:therapy*; D009752:Nutritional Status; D009959:Oropharyngeal Neoplasms / Q000628:therapy*; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies; D012885:Skinfold Thickness; D016896:Treatment Outcome; D015431:Weight Loss