Assessment of percutaneous endoscopic gastrostomy (PEG) in head and neck cancer patients

Risako Kakuta, Kazuto Matsuura, Tetsuya Noguchi, Kengo Kato, Katsunori Katagiri, Takayuki Imai, Eichi Ishida, Shigeru Saijyo

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As nutrition support for head and neck cancer patients who receive chemoradiotherapy (CRT) and whose oral cavity or pharynx is exposed to radiation, we perform percutaneous endoscopic gastrostomy (PEG) tube placement. We examined 235 patients who underwent PEG in our division between January 2003 and December 2009. For 64% of them, the purpose of performing PEG was nutrition support for CRT, of whom 74% actually used the tube. However, the situation varied according to the primary sites of patients. Forty-four percent of laryngeal cancer patients who underwent PEG actually used the tube, which was a significantly lower rate than others. Also, 81% of them removed the PEG tube within one year. These findings suggest that PEG-tube placement for nutrition support is not indispensable for all CRT cases. Therefore, we recommend performing PEG for oral, oropharyngeal, and hypopharyngeal cancer patients.

Original languageEnglish
Pages (from-to)433-438
Number of pages6
JournalJapanese Journal of Head and Neck Cancer
Issue number3
Publication statusPublished - 2011


  • Chemoradiotherapy (CRT)
  • Head and neck cancer
  • Nutritional support
  • Percutaneous Endoscopic Gastrostomy (PEG)


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