Abstract
Background: Toxicity arising from large volume mucosal irradiation in head and neck patients leads to predictable reduction in oral nutritional intake, weight loss and prolonged recovery. Our centre electively admits patients for prophylactic percutaneous endoscopic gastrostomy (PEG) insertion. Anecdotally, our post-PEG care was suboptimal, with patients reporting poor pain control and being starved unnecessarily, with consequential prolongation of in-patient stay. This quality improvement project aimed to assess and improve our care pathway.
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