Early Identification of Gastrostomy Tube Placement in the Surgical Treatment of Head and Neck Cancer

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2026-09-22 Epub Date: 2026-04-14 DOI:10.1002/hed.70282

Makayla R. Matthews, Victoria I. Fonseca, Jason Tasoulas, Trevor G. Hackman

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引用次数: 0

Abstract

Background

There is no consensus on optimal timing or indications for gastrostomy tube (G-tube) placement for Head and Neck Cancer (HNC) patients. While avoiding procedural risks for many, a reactive-only approach has been linked to longer hospital stays, higher costs, and complications related to prolonged hospitalization for some patients. The aim of this study was to identify patients at risk of gastrostomy during the primary hospitalization.

Methods

Retrospective review of patients who underwent HNC resection and reconstruction at a single academic institution (2017–2022) was completed. Statistical analysis was performed with Stata.

Results

Across 145 patients, tumor site [55% oral, 6% oropharynx, 7% hypopharynx, 31% larynx] significantly influenced G-tube placement (p < 0.0005). The following were independently associated with reactive G-tube placement: sex (females, HR 1.81, 95% CI 1.01–3.23), tumor site (oropharynx 2.42, 95% 1.29–4.54; larynx 0.16, 95% 0.07–0.36), and prior systemic therapy (0.22, 95% 0.05–0.96); which were used to create a nomogram for patient counseling.

Conclusions

Presurgical risk stratification offers a value-based approach for identifying HNC patients most likely to require G-tube placement.

查看原文本刊更多论文

头颈部肿瘤手术治疗中胃造瘘管置放的早期识别。

背景：对于头颈癌（HNC）患者胃造口管（g管）置入的最佳时机或适应症尚无共识。虽然对许多人来说避免了程序性风险，但仅采用反应性方法会导致住院时间更长、费用更高，以及一些患者因长期住院而引发的并发症。本研究的目的是确定初次住院期间存在胃造口风险的患者。方法：回顾性分析2017-2022年在同一学术机构接受HNC切除术和重建术的患者。采用Stata进行统计学分析。结果：在145例患者中，肿瘤部位[55%口腔，6%口咽部，7%下咽，31%喉部]显著影响g管放置(p结论：术前风险分层为确定最有可能需要放置g管的HNC患者提供了一种基于价值的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.