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Delayed healing of percutaneous endoscopic gastrostomy site during chemotherapy
  1. Klara Garsed,
  2. Richard Armstrong,
  3. Brian B Scott
  1. Department of Gastroenterology, Lincoln County Hospital, Lincoln, UK
  1. Correspondence to:
    Dr B B Scott
    Department of Gastroenterology, Lincoln County Hospital, Lincoln LN2 5QY, UK; drbbscott{at}aol.com

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Many patients with head and neck cancer experience altered deglutition, weight loss and malnutrition as a consequence of their disease. Surgery, radiotherapy and chemotherapy frequently compound these problems. The use of percutaneous endoscopic gastrostomy (PEG) for nutritional support has been found to be effective, acceptable to patients and has a low rate of complications. We describe two cases of delayed healing and peristomal leakage in patients whose PEG was inserted during chemotherapy.

Case 1

A 59-year-old man with a T3N1M0 laryngeal carcinoma began weekly cisplatin chemotherapy and radiotherapy 2 weeks before insertion of a 9 Fr Freka PEG. There was no initial complication and the patient received his third dose …

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