Publication details
Perkutánní endoskopická gastrostomie v algoritmu terapie pokročilých nádorů hlavy a krku
| Title in English | Percutaneous endoscopic gastrostomy in algoritmus advanced head and neck cancers |
|---|---|
| Authors | |
| Year of publication | 2012 |
| Type | Article in Periodical |
| Magazine / Source | Endoskopie |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | head and neck cancer percutaneous endoscopic gastrostomy malnutrition |
| Description | Malnutrition is one of the severe symptoms of advanced head and neck cancer (HNSCC). The most helpful procedure to establish adequate way of nutrition is percutaneous endoscopic gastrostomy (PEG). This approach is useful in the most of HNSCC patiens and significantly reducts indications for open gastrostomy. We create and use also alternative techniques of PEG implantation (peroperative PEG as a part of oncosurgical procedure on the head and neck through the open wound after primary tumor resection). This technique help us to spread PEG implantation for patients with severe tumorous stenosis of hypopharynx and proximal oesophagus and also exclude posibility of implant metastatis due to mechanic traumatisation of cancer tissue. The same effect has PEG created with a help of rigid esophagoscope. Early diagnosis and effective treatment of malnutrition in HNSCC patients is required to improve therapeutical outcomes and prognosis. PEG is an important step in treatment of malnourished HNSCC patiens. Key words: head and neck cancer, percutaneous endoscopic gastrostomy, malnutrition. |