Medical Oncology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Medical Oncology, Eastern Regional Health Authority, Sangre Grande, Trinidad and Tobago.
BMJ Case Rep. 2021 May 25;14(5):e238203. doi: 10.1136/bcr-2020-238203.
Patients undergoing radical treatment particularly chemoradiotherapy for cancer of the upper aerodigestive tract frequently experience progressive deterioration in swallow during and immediately after treatment. It is important to identify patients at high risk of compromised feeding early, following diagnosis, so that alternate feeding routes, such as percutaneous endoscopic gastrostomies (PEGs), can be promptly and prophylactically instituted, in keeping with the UK Head and Neck Cancer Guidelines (2016).
接受上呼吸消化道癌症根治治疗(尤其是放化疗)的患者在治疗期间和治疗后吞咽功能会逐渐恶化。重要的是在诊断后及早识别有喂养困难高风险的患者,以便根据英国头颈部癌症指南(2016 年)及时预防性地采用其他喂养途径,如经皮内镜胃造口术(PEG)。