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Letter to the Editor
Analysis of nationwide trends and outcomes of percutaneous endoscopic gastrostomy (PEG) tube placement in hospitalized patients with cancer over a 13-year period
  1. Achuta Kumar Guddati1,
  2. Gagan Kumar2,
  3. Iuliana Shapira1
  1. 1Division of Hematology and Oncology, SUNY, Downstate Medical Center, Brooklyn, New York, USA
  2. 2Division of Critical Care, Northeast Georgia Health System, Gainesville, USA
  1. Correspondence to Dr Achuta Kumar Guddati, Division of Hematology and Oncology, SUNY Downstate Medical Center, 450, Clarkson Avenue, Brooklyn, NY 11203, USA; drgakumar{at}yahoo.com, kumar.guddati{at}downstate.edu

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Malnutrition in patients with cancer is a widely recognized problem. It has been shown to effect the response to surgery/chemotherapy and is associated with a poor performance status and a shortened survival.1 2 The extent of malnutrition can be classified as mild, moderate and severe based on several validated clinical scores.3 There is a lack of consensus and several societies have provided differing guidelines.4 Hence, the decision to provide enteral feeding in patients with cancer is complex and is based on several factors. The most important factor that needs to be considered is the therapeutic benefit and improvement in quality of life (QOL) for patients with cancer. Mucosal toxicity associated with the treatment of head and neck malignancies has been shown to contribute to a significant loss of body weight. The nutritional benefit and improvement of QOL by providing enteral nutrition during chemotherapy or concurrent chemoradiation therapy for head and neck cancers have been studied.5 6 Nutritional support by enteral feeding also appears to be associated with better outcomes in specific situations for aerodigestive …

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