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Pre Radiotherapy Process
Percutaneous Endoscopic Gastrostomy
•
Consider Elective PEG placement:
Significant weight loss at Dx (>10% in 6 mts)
Baseline Swallowing Difficulty due to tumour
Extensive resection resulting in impaired tongue mobility or
swallowing function or
Large Radiotherapy Fields ie bilateral RT
Chemotherapy
No role for elective PEG tubes for all H+N patients
due
to the 2% mortality rate and up to 8% major complication rate
associated with PEG tubes