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European Archives of Oto-Rhino-Laryngology

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01-01-2012 | Head and Neck

The impact of early percutaneous endoscopic gastrostomy placement on treatment completeness and nutritional status in locally advanced head and neck cancer patients receiving chemoradiotherapy

Authors: Beste M. Atasoy, Oya Yonal, Birsen Demirel, Faysal Dane, Yusuf Yilmaz, Cem Kalayci, Ufuk Abacioglu, Nese Imeryuz

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2012

Abstract

To investigate the impact of early insertion of percutaneous endoscopic gastrostomy-tube on nutritional status and completeness of concurrent chemotherapy in locally advanced head and neck cancer patients treated with chemoradiotherapy. Twenty-three patients were enrolled into this prospective study. Gastrostomy-tube was inserted in patients before the initiation of chemoradiotherapy. There was not any significant change in nutritional parameters of patients that used their tube during treatment. Despite the grade 3 mucositis, the planned concurrent chemotherapy could be given in 70% of the patients. However, nine patients had weak compliance and their body weight (P = 0.01) and body mass index (P = 0.01) deteriorated in the first 4 weeks of chemoradiotherapy. The completeness of concurrent chemo-rate was 44% in these patients. Toxicity, requiring aggressive supportive care, may limit the chemotherapy part of curative concomitant chemoradiotherapy. By providing adequate enteral nutrition the insertion of gastrostomy-tube can increase the completeness rate of concurrent chemotherapy.

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Title: The impact of early percutaneous endoscopic gastrostomy placement on treatment completeness and nutritional status in locally advanced head and neck cancer patients receiving chemoradiotherapy
Authors: Beste M. Atasoy
Oya Yonal
Birsen Demirel
Faysal Dane
Yusuf Yilmaz
Cem Kalayci
Ufuk Abacioglu
Nese Imeryuz
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2012
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-010-1477-7

At a glance: The STEP trials

Springer Medicine

The impact of early percutaneous endoscopic gastrostomy placement on treatment completeness and nutritional status in locally advanced head and neck cancer patients receiving chemoradiotherapy

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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