Predictive factors for preoperative percutaneous endoscopic gastrostomy placement: Novel screening tools for head and neck reconstruction

Ashley R. Chandler, Denis Knobel, Munique Maia, Jason Weissler, Benjamin D. Smith, Raman R. Sharma, Katie E. Weichman, Douglas K. Frank, Armen K. Kasabian, Neil Tanna

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: The treatment of head and neck cancer has varying impact on postoperative recovery and return of swallowing function. The authors aim to establish screening tools to assist in preoperatively determining the need for gastrostomy tube placement. Methods: The authors prospectively assessed all patients undergoing complex head and neck reconstructive surgery during a 1-year study period. Only patients tolerating an oral diet, without preoperative gastrostomies, were enrolled for study. Eight parameters were assessed including: body mass index (BMI), prealbumin, albumin, smoking history, comorbidities [including coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), and diabetes mellitus (DM)], age, use of microvascular reconstruction, and type of defect. Two specific screening tools were assessed. In the first, a multivariate logistic regression model was employed to determine factor(s) that predict postoperative gastrostomy tube. In a second screening tool, the 8 parameters were scored between 0 to 1 points. The total score obtained for each patient was correlated with postoperative gastrostomy placement. Results: Out of the 60 study patients enrolled in the study, 24 patients (40%) received a postoperative gastrostomy. In the logistic regression model, albumin level was the only factor that was significantly associated with need for postoperative gastrostomy (P

Original languageEnglish (US)
Pages (from-to)2124-2127
Number of pages4
JournalJournal of Craniofacial Surgery
Volume26
Issue number7
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

Gastrostomy
Neck
Head
Logistic Models
Albumins
Reconstructive Surgical Procedures
Prealbumin
Deglutition
Head and Neck Neoplasms
Chronic Obstructive Pulmonary Disease
Comorbidity
Coronary Artery Disease
Diabetes Mellitus
Body Mass Index
Smoking
History
Diet

Keywords

  • Head and neck reconstruction
  • Percutaneous endoscopic gastrostomy tube
  • Preoperative nutrition

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Predictive factors for preoperative percutaneous endoscopic gastrostomy placement : Novel screening tools for head and neck reconstruction. / Chandler, Ashley R.; Knobel, Denis; Maia, Munique; Weissler, Jason; Smith, Benjamin D.; Sharma, Raman R.; Weichman, Katie E.; Frank, Douglas K.; Kasabian, Armen K.; Tanna, Neil.

In: Journal of Craniofacial Surgery, Vol. 26, No. 7, 2015, p. 2124-2127.

Research output: Contribution to journalArticle

Chandler, Ashley R. ; Knobel, Denis ; Maia, Munique ; Weissler, Jason ; Smith, Benjamin D. ; Sharma, Raman R. ; Weichman, Katie E. ; Frank, Douglas K. ; Kasabian, Armen K. ; Tanna, Neil. / Predictive factors for preoperative percutaneous endoscopic gastrostomy placement : Novel screening tools for head and neck reconstruction. In: Journal of Craniofacial Surgery. 2015 ; Vol. 26, No. 7. pp. 2124-2127.
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