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Gastrostomy in head and neck cancer: current literature, controversies and research

Lookup NU author(s): Professor Vinidh Paleri

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Abstract

© 2015 Wolters Kluwer Health, Inc. All rights reserved. Purpose of review This article explores the literature on the role of gastrostomy tube feeding use in the management of head and neck cancer, with special attention to its indications, timing of insertion, advantages, complications and quality of life issues. Recent findings The current guidelines in place across different countries and two ongoing randomized controlled trials are discussed in detail, and placed in the context of current evidence. Summary There remains a lack of consensus about when and which enteral feeding routes (gastrostomy or nasogastric tube) should be used and controversy about the long-term effects on swallowing function as well as quality of life for patients. Local guidelines should be used or generated to guide practice or patients enrolled into existing trials until higher level evidence is generated.

Publication metadata

Author(s): Bradley PT, Brown T, Paleri V

Publication type: Review

Publication status: Published

Journal: Current Opinion in Otolaryngology and Head and Neck Surgery

Year: 2015

Volume: 23

Issue: 2

Pages: 162-170

Print publication date: 01/04/2015

Acceptance date: 01/01/1900

ISSN (print): 1068-9508

ISSN (electronic): 1531-6998

Publisher: Lippincott Williams and Wilkins

URL: http://doi.org/10.1097/MOO.0000000000000135

DOI: 10.1097/MOO.0000000000000135

PubMed id: 25692626

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