&lt;p&gt;Percutaneous Endoscopic Gastrostomy Tube Placement in Patients with Head and Neck Cancer Treated with Radiotherapy&lt;/p&gt;

Lang, Kristin; Shafie, Rami A El; Akbaba, Sati; Koschny, Ronald; Bougatf, Nina; Bernhardt, Denise; Welte, Stefan; Adeberg, Sebastian; Häfner, Matthias; Kargus, Steffen; Plinkert, Peter K.; Debus, Jürgen; Rieken, Stefan

doi:10.2147/cmar.s218432

Cited by 15 publications

(11 citation statements)

References 34 publications

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“…10 El estado nutricional es un aspecto importante en los pacientes con neoplasias de cabeza y cuello y, debido a la alta prevalencia de malnutrición en esta población, la cual oscila entre 35% y 60%, se han desarrollado estrategias para mejorar el estado nutricional de estos pacientes. 14 Muchos estudios han demostrado la efectividad de la gastrostomía percutánea endoscópica en la prevención de la malnutrición en esta población. 15 El paciente del caso presentaba una alteración en la motilidad del esófago secundaria a la compresión tumoral, debido a que, a pesar de haber experimentado una reducción en el tamaño de la masa, tenía dificultad para deglutir, razón por la cual se decidió realizar una gastrostomía percutánea.…”

Section: Discussionunclassified

Recaída de linfoma folicular de alto grado en tiroides

Alburqueque-Melgarejo¹,

Roque²,

Dulanto-Moscoso³

et al. 2022

AMC

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El linfoma folicular de tiroides es una entidad rara que representa menos del 2% de los linfomas extranodales y cuyo principal factor de riesgo es la tiroiditis de Hashimoto. Suele afectar con mayor predisposición a pacientes adultos mayores, en los que con frecuencia se presenta como una masa de crecimiento rápido con compromiso de las estructuras adyacentes en el cuello. Sin embargo, dada su rara incidencia, esta patología debe ser sospechada por elclínico para un diagnóstico temprano oportuno. Aunque en la actualidad no existen guías de manejo estandarizadas para esta entidad, acostumbra tener buena respuesta a radioterapia y quimioterapia. El presente caso describe la historia de un paciente con una recaída de linfoma no Hodgkin de tipo folicular de alto grado localizado en tiroides que se presentó a urgencias con disfonía, parálisis bilateral de cuerdas vocales, cambio en el tono de la voz y disfagia, con el antecedente de un linfoma folicular de alto grado en localización retroperitoneal y en remisión luego de 8 ciclos de quimioterapia con rituximab, ciclofosfamida, doxorubicina, vincristina y prednisona, el cual presentó citorreducción luego del tratamiento con quimioterapia con el protocolo de rituximab, dexametasona, citarabina y cisplatino.

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Section: Discussionunclassified

Recaída de linfoma folicular de alto grado en tiroides

Alburqueque-Melgarejo¹,

Roque²,

Dulanto-Moscoso³

et al. 2022

AMC

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“…However, a predictive model is needed to identify patients at high risk of malnutrition, and to prevent unnecessary PEG-placement. 14 Cancer with mechanical or functional bowel obstruction: Gastrointestinal decompression is one of the most useful therapeutic method for patients with mechanical or functional bowel obstruction caused by cancer. Compared with NGT, PEG is more comfortable and can be used to drain gastric secretions and resolve persistent nausea and vomiting in long term.…”

Section: Cancermentioning

confidence: 99%

Percutaneous endoscopic gastrostomy

Liu

Yang

et al. 2021

Int J Gastrointest Interv

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Percutaneous endoscopic gastrostomy (PEG) is a feasible and safe technique for patients who need long-term feeding and cannot eat orally. With the increasing maturity of PEG technique, a large number of patients receive PEG tube placement every year in the world. However, PEG tube placement is not necessary in some patients, and some other patients are not evaluated strictly, leading to serious complications. In a broad sense, the mainly two indications for PEG include long-term enteral nutrition and gastric decompression. On the other hand, the main contraindications of PEG are distal intestinal obstruction, severe coagulation abnormalities, and severe infection at the PEG site. In the first section of this review, the indications and contraindications of PEG are introduced. Although PEG tube placement is a relatively safe technique, it can still cause a number of complications, including minor and major complications. Through standard management and treatment, the outcome of most patients is very good. In the second section of this review, we describe a variety of minor and major tube-related complications, and the treatment and prevention of these complications. In addition, the preparation and post-insertion care are also very important for PEG, which can reduce the incidence of complications. In the last section of this review, we describe related issues about the preparation and post-insertion care of PEG. In conclusion, PEG tube placement is a widely accepted technique that can bring benefits to the right patients.

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“…Lang et al [ 41 ] retrospectively assessed PEG tube placement depending on body weight and BMI in 186 HNC patients undergoing RT. The authors also evaluated the course of weight change following PEG placement.…”

Section: The Enteral Nutrition In Hnc Patients Undergoing Crtmentioning

confidence: 99%

“…Low-grade toxicities related to PEG insertion were observed in 10.7% of patients, with the most frequently noted being peristomal pain and redness adjacent to the PEG tube insertion site. High-grade toxicities, including peritonitis and organ injury, were observed in 4.9% of patients [ 41 ]. The authors concluded that underweight patients and patients with preexisting dysphagia should be screened during RT for weight loss and decreased oral intake.…”

Section: The Enteral Nutrition In Hnc Patients Undergoing Crtmentioning

confidence: 99%

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Nutritional Support in Head and Neck Radiotherapy Patients Considering HPV Status

et al. 2020

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Malnutrition is a common problem in patients with head and neck cancer (HNC), including oropharyngeal cancer (OPC). It is caused by insufficient food intake due to dysphagia, odynophagia, and a lack of appetite caused by the tumor. It is also secondary to the oncological treatment of the basic disease, such as radiotherapy (RT) and chemoradiotherapy (CRT), as a consequence of mucositis with the dry mouth, loss of taste, and dysphagia. The severe dysphagia leads to a definitive total impossibility of eating through the mouth in 20–30% of patients. These patients usually require enteral nutritional support. Feeding tubes are a commonly used nutritional intervention during radiotherapy, most frequently percutaneous gastrostomy tube. Recently, a novel HPV-related type of OPC has been described. Patients with HPV-associated OPC are different from the HPV− ones. Typical HPV− OPC is associated with smoking and alcohol abuse. Patients with HPV+ OPC are younger and healthy (without comorbidities) at diagnosis compared to HPV− ones. Patients with OPC are at high nutritional risk, and therefore, they require nutritional support in order to improve the treatment results and quality of life. Some authors noted the high incidence of critical weight loss (CWL) in patients with HPV-related OPC. Other authors have observed the increased acute toxicities during oncological treatment in HPV+ OPC patients compared to HPV− ones. The aim of this paper is to review and discuss the indications for nutritional support and the kinds of nutrition, including immunonutrition (IN), in HNC, particularly OPC patients, undergoing RT/CRT, considering HPV status.

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<p>Percutaneous Endoscopic Gastrostomy Tube Placement in Patients with Head and Neck Cancer Treated with Radiotherapy</p>

Cited by 15 publications

References 34 publications

Recaída de linfoma folicular de alto grado en tiroides

Recaída de linfoma folicular de alto grado en tiroides

Percutaneous endoscopic gastrostomy

Nutritional Support in Head and Neck Radiotherapy Patients Considering HPV Status

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