| Joined: May 2007 Posts: 666 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2007 Posts: 666 | David, one reason is that they come out that easily. I had one in after surgery and it lasted exactly half a day before I puked it up...... The other disadvantage is that the diameter is quite small which is ok for water an low viscosity fluids.
M
Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | For once, Markus and I are on the same side of a feeding tube discussion, at least as to unpleasant experiences with nasal feeding tubes. Much as I dislike the G-tube, the nasal gastric tube was an even more horrible experience for me after surgery. It prevented me from expelling the mucous which then choked me and did cause me to vomit. They had stitched my nasal tube into me to make sure it couldn't come out as they feared my throat was too swollen to rethread a nasal tube down if it did come out, so even puking would not free me. I didn't need any feeding tube the first time around which worked out best for me. Charm
65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | First night I had mine I must have got it tangled in the bed somehow and I woke up to a very wet bed. The night nurse came in and said "I'll put a new one in" and I politely said "no thanks, I'll wait for the doctor!" I didn't have any further problems and as far as the size of the tube, which I have no idea, I remember they gave me a syringe that I sucked up even VHC and shot it up my tube. I always flushed it with water as I needed those ounces as well.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: Sep 2009 Posts: 618 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Sep 2009 Posts: 618 | I'm not sure i want to weigh in here, but here goes.
I did radiation only and refused the PEG. I made it without losing weight. I recomend the PEG because the last few weeks was very tough. I made it and did get a bit of satisfaction that my gamble paid off.
I also recomend it for a second reason. I have seen many posters here who have a very difficult time of it. This usualy comes on very suddenly and the PEG is the only thing that keeps them out of the hospital.
I gambled with my pride and won. Are you feeling lucky lately
Kelly Male 48, SCC (Soft Palet) Rt., Stage 1, T3n0m0, Dx, 8-09, Start IMRT 35 9-2-09 end 10-21-09 04-20-10 NED 8-11 recurrence, node rt. neck N2b 10-11 33 IMRT w/chemo wkly 3-12-12 PET - residual cancer 4-12 5 treatments with Cyberknife & Erbitux 6-19-12 Pet scan CLEAR 12-3-12 PET - CLEAR
| | | | Joined: Mar 2008 Posts: 404 Likes: 2 "OCF Down Under" Platinum Member (300+ posts) | "OCF Down Under" Platinum Member (300+ posts) Joined: Mar 2008 Posts: 404 Likes: 2 | Prevention is better than cure. Just because you have a PEG it doesn't mean that you have to use it. Once you've finished your treatments and your medical team is satisfied that everything is going well with nutrition intake etc, the PEG can be removed in a couple of minutes.
Karen
46 yrs: Apr 07-SCC 80% entire tongue removed,T4N1M0 Neck/D,Jaw Split, Trache 2 ops,PEG 3.5yrs 30 x rad,6 x Cisplatin, 30 x HBO Apr'08- flap Recon + ORN Mandibulectomy (hip bone to reconstruct jaw) Oct'08 1 Plate out-jaw Mar'09 Debulk flap Sep'09/Jan&Nov'10/Feb&Jun'11/Jan&Jul'12/Oct'13/April'14-More surgery
| | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | My Dr Trotti, RO at Moffitt, who is not a big proponent of the PEG tells me that in his experience 30% of his PEG patients end up PEG dependent for the rest of their life. To me that's a real scary number.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
| | | | Joined: May 2007 Posts: 666 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2007 Posts: 666 | David, what exactly does that mean though?
Do these 30% that are dependent on a PEG tube include those that otherwise would not get any nutrition? Also this would depend on the type of patients (i.e. age severity etc) Reading the comments here, even those who are "proponents" of a PEG do not like the *&%$ thing and are happy to get rid of it once they are past the rough spot of the treatment, if not sooner.
M
Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | It doesnt seem like the people on OCF would end up being in that 30% figure. Most people here have gotten a peg and had it removed asap. If I had to put a number on my guess on peg dependant for life patients, it would be 10%. Of course all this is my own uneducated opinion  ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Jan 2009 Posts: 476 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Jan 2009 Posts: 476 | [quote=davidcpa]My Dr Trotti, RO at Moffitt, who is not a big proponent of the PEG tells me that in his experience 30% of his PEG patients end up PEG dependent for the rest of their life. To me that's a real scary number. [/quote]
I wonder how many of his patients (who don't get a PEG) end up in the ER or hospitalized because of dehydration or being malnourished? There's a complication we didn't want to face.
Wanda (47) caregiver to husband John (56) age at diag.(2009) 1-13-09 diagnosed Stage IV BOT SCC (HPV+) 2-12-09 PEG placed, 7-6-09 removed Cisplatin 7 weeks, 7 weeks (35) IMRT 4-15-09 - treatment completed 8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear 4-2013 - HBO (30 dives) tooth extraction 10-2019 - tooth extraction, HBO (10 dives) 11-2019 - Left lateral tongue SCC - Stage 2
| | | | Joined: May 2008 Posts: 551 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2008 Posts: 551 | And I wonder how many of those patients would have ended up needing a PEG anyway.
And for the record, I have no regrets about having a PEG. There would have been no way for me to get the nutrition my body required without one. I lost no weight at all during treatment, had no trouble with dehydration or getting meds as required, and when I was able, I returned to eating by mouth. No harm, no foul.
Clearly, everyone else's results may vary.
- Margaret
Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08 Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016 Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
| | |
Forums23 Topics18,265 Posts197,179 Members13,363 | Most Online1,788 Jan 23rd, 2025 | | | |