| Survey of gastrostomy insertion technique used in oncology patients in UK oral and maxillofacial units. | |
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MedLine Citation:
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PMID: 19836255 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This UK national survey set out to find the most commonly used gastrostomy insertion technique and to estimate the number of cases of gastrostomy site tumour seeding experienced over the last 3 years. Questionnaires were sent to one maxillofacial consultant of 154 UK hospitals, details of whom were obtained using the directory of the British Association of Oral and Maxillofacial Surgeons. Questionnaires were returned from 65% (100/154) of hospitals. Overall 61% of maxillofacial surgeons stated that gastrostomies were inserted in their hospital for head and neck (H&N) cancer patients. Percutaneous endoscopic gastrostomies (PEGs) were the routine choice for insertion of gastrostomy in 82% of hospitals, and a small number of hospitals used PEG and radiologically inserted gastrostomy (RIG). Pull through was the predominant technique used for PEG replacement in 77% of hospitals. Only 5% (3/58) hospitals had seen any cases of gastrostomy site tumour seeding in the last 3 years. The incidence of seeding was estimated as 3 per 5000 cases requiring gastrostomy insertion. Most units still use the pull through technique of PEG insertion in spite of guidelines from the British Society of Gastroenterologists advocating push insertion. Gastrostomy site seeding was estimated to have occurred in only 5% of units over a 3 year period. |
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Authors:
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Andrew J Barber; Derek Lowe; Simon Lal; Simon N Rogers |
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Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2009-10-27 |
Journal Detail:
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Title: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery Volume: 38 ISSN: 1878-4119 ISO Abbreviation: J Craniomaxillofac Surg Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-04-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8704309 Medline TA: J Craniomaxillofac Surg Country: Scotland |
Other Details:
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Languages: eng Pagination: 60-3 Citation Subset: D; IM |
Affiliation:
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Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK. andrewbarber2@nhs.net <andrewbarber2@nhs.net> |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Endoscopy
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methods Gastrostomy / adverse effects, methods*, statistics & numerical data Great Britain Head and Neck Neoplasms / surgery* Humans Neoplasm Seeding* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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