Charm
If you Google 'Dysphagia and Chemoradiation' there are many studies on this common morbidity.

I'm sure Clinicians at major CCC's have known about this and have dealt with it for many years (with or without PEG patients).

I think the contribution of this study is actually Dr. Harter's successful results in blocking RT to critical swallowing structures. I read where MD Anderson is also doing and recommending this.

Also, the 'Study' states: At Ann Arbor CCC ... "Feeding tubes were inserted if weight loss during therapy approached 10%".

Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11