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Complications of percutaneous gastrostomy in patients with head and neck cancer--an analysis of 42 consecutive patients.

A total of 42 patients, who underwent insertion of a percutaneous gastrostomy tube prior to resection for oral squamous cell carcinoma, were investigated to examine the incidence and severity of complications associated with use of this technique. The team performing the procedure and the grade of operator was noted together with any subsequent complications and their outcome. Previously reported complication rates were 2.7-2.8% and 6-7.1% for major and minor complications, respectively, but, in this series, a major complication rate of 22.5% and minor complication rate of 17.5% were identified. The findings of this study have led to the introduction of a further prospective audit of this technique in the maxillofacial unit and a more selective policy of PEG prescription for patients undergoing resection for head and neck cancer.