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When is the need for a feeding tube neccesitated in neck cancer ?

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(@lalit)
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The need for a feeding tube in neck cancer, also known as head and neck cancer, may be necessitated for several reasons, depending on the specific circumstances and the patient's condition. These tubes are typically called "enteral feeding tubes," and they are used to provide nutrition and hydration when a patient is unable to eat or drink normally due to various factors, including the cancer and its treatment. Some common reasons for the placement of a feeding tube in neck cancer patients include:

1. Swallowing difficulties (dysphagia): Many patients with head and neck cancer experience difficulty swallowing, which can result from the cancer itself, surgery, radiation therapy, or chemotherapy. Dysphagia can make it challenging to consume adequate nutrients and maintain proper hydration.

2. Surgical interventions: Patients who undergo surgery for head and neck cancer, especially if it involves the removal of parts of the throat or mouth, may have difficulty swallowing and require a feeding tube during their recovery.

3. Radiation therapy and chemotherapy side effects: The side effects of radiation therapy and chemotherapy can include mucositis (inflammation of the mucous membranes in the mouth and throat), nausea, and decreased appetite, all of which can make it difficult to eat and drink.

4. Temporary or long-term nutritional support: Feeding tubes can be used as a temporary measure during treatment to ensure that the patient receives adequate nutrition and hydration. In some cases, they may be needed for a more extended period or even permanently, especially if there are long-term effects on swallowing or if the cancer is advanced.

The decision to place a feeding tube is typically made by a medical team, including oncologists, surgeons, and speech therapists, after assessing the patient's individual needs and the potential impact of cancer treatment on their ability to eat and drink. The type of feeding tube used can vary, and options include nasogastric tubes (NG tubes) inserted through the nose and into the stomach, percutaneous endoscopic gastrostomy (PEG) tubes inserted through the abdominal wall, or other types of enteral access depending on the patient's specific needs.

The timing and necessity of a feeding tube in neck cancer will depend on the individual patient's condition, the stage of cancer, and the treatment plan. It is essential to have thorough discussions with the medical team to make informed decisions about the use of feeding tubes and the overall management of the cancer and its associated challenges.

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