期刊
CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY
卷 23, 期 2, 页码 162-170出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOO.0000000000000135
关键词
chemoradiotherapy; dysphagia; gastrostomy; head and neck cancer; nasogastric tubes; nutrition
资金
- Royal Brisbane
- Women's Hospital, Brisbane, Queensland, Australia
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.
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