ICHNO-ECHNO 2022 - Abstract Book

S105

ICHNO-ECHNO 2022

Conclusion The acoustic features enable to discover interpretable differences between voluntary and reflexive coughs, which demonstrates the relevance of the features. Also, the contrast between voluntary and reflexive coughs suggests that both should be considered in future work oriented towards discovering biomarkers of aspiration in patients with RAD.

PO-0166 prophylactic NG tube vs NG tube on demand for feeding, in locally advanced Head-Neck cancer on CCRT

S. Ahmed 1 , R. Un Nabi 2 , A. Kumar Sengupta 1

1 United Hospital Ltd, Cancer Care Center, Dhaka, Bangladesh; 2 United Hospital Ltd, Cancer Care center, Dhaka, Bangladesh

Purpose or Objective Head Neck cancer is in top five cancer in Bangladesh. As a developing country most of patients diagnosed as advanced cases. Concurrent chemoradiotherapy is one of the principle part of management of these patients, but with more treatment related side effects.This observational study was done(January,2018 to August,2018) at United Hospital Ltd. on 112 advanced head-neck cancer patients to compare the role of prophylactic Nasogastric(NG) feeding tube with NG tube on demand while treating with chemo-radiotherapy. Materials and Methods All patients were assessed with weight, BMI and other biochemical blood values (CBC, LFT, RFT, S. Electrlytes) before starting of treatment and weekly till 3 weeks after completion of treatment. All patients were received Inj cisplatin(40/m2) weekly. 50 patients were given prophylactic NG tube before starting of chemoradiotherapy (Arm-A) and rest were not(Arm- B). Average calorie of NG feeding was 1600-1800Kcal/day. Results Weight loss( 80%), AcuteKidneyInjury (AKI) (8%), mild to moderate electrolytes imbalance (43%), dehydration (40%), hospital admission (43.5%), treatment gap (13%) were observed in Arm-B. 25 patients (40.3%) need NG tube during treatment from Arm-B. 13 patients denied to do NG tube and 3 patients need endoscopic nasogarstric tube insertion. 2 patients need PEG tube. In Arm-A weight loss( 31%), AKI (1%), electrolytes imbalance (11%), hospital admission (13%), treatment gap (2%), dehydration (2%) were observed. Conclusion Bangladesh where lack of proper motivation, high rate of illiteracy, lack of proper nutritional knowledge, old myth play an important role while treating cancer patients. In this study we have found that prophylactic Nasogastric feeding tube significantly reduced hospital admission and other treatment related morbidity and thus reduce the financial burden on patients from developing countries. But to validate this finding we plan to do a multicenter, large sample prospective study in future. I.F. Gray 1 , S. Iqbal 1 , C. Kelly 1 , C. Nice 2 , H. Fox 3 , L. Gradwell-Nelson 3 , W. Philip 4 , K. Carlson 3 , D. Miller 3 , I. Bowe 5 , N. Lynch 5 , L. McGowan 6 , P. Haslam 2 , M. Ramzan 2 , M. Cunnell 1 1 Northern Centre for Cancer Care, Oncology, Newcastle, United Kingdom; 2 Freeman Road Hospital , Interventional Radiology, Newcastle, United Kingdom; 3 Freeman Road Hospital , Otolaryngology, Newcastle, United Kingdom; 4 Freeman Road Hospital , Otolarygology, Newcastle, United Kingdom; 5 Freeman Road Hospital , Dietetics , Newcastle, United Kingdom; 6 Freeman Road Hospital , Nutrition, Newcastle, United Kingdom Purpose or Objective A significant proportion of patients with head and neck cancer (HNC) require tube feeding. Prophylactic use of Radiologically Inserted Gastrostomy (RIG) is common in HNC patients before radiotherapy treatment. A standardised approach to prevent PO-0167 RIG-associated infection rates in head and neck cancer: Benefit of prophylactic antibiotics