Riera L, Sandiumenge A, Calvo C, Bordas J M, Alobid I, Llach J, Bernal M
Department of Otorhinolaryngology, Hospital Clinic, Barcelona, Spain.
ORL J Otorhinolaryngol Relat Spec. 2002 Jan-Feb;64(1):32-4. doi: 10.1159/000049265.
To present our experience with the indications and complications of percutaneous endoscopic gastrostomy (PEG) in head and neck cancer patients.
In a retrospective study of the patients treated, we reviewed the records of 43 patients diagnosed with head and neck cancer at the Otorhinolaryngology Department, in which a PEG was performed by the Unit of Digestive Endoscopy.
All cases had squamous cell carcinoma. Larynx was the most frequent primary site, with 21 cases (49%), followed by hypopharynx, 12 patients (28%). Indications for PEG were: dysphagia (53.5%) and pharyngocutaneous fistula (43.5%). The most frequent complication was a local infection.
PEG is a good choice for long-term enteral feeding in head and neck cancer patients due to its low complication rate and easy handling.
介绍我们在头颈部癌患者中进行经皮内镜下胃造口术（PEG）的适应证及并发症的经验。
在一项对接受治疗患者的回顾性研究中，我们查阅了43例在耳鼻喉科被诊断为头颈部癌患者的记录，这些患者均由消化内镜科进行了PEG手术。
所有病例均为鳞状细胞癌。喉是最常见的原发部位，有21例（49%），其次是下咽，12例（28%）。PEG的适应证为：吞咽困难（53.5%）和咽皮肤瘘（43.5%）。最常见的并发症是局部感染。
由于PEG并发症发生率低且操作简便，是头颈部癌患者长期肠内营养支持的良好选择。
