P-OGC43 Morbidity and unplanned hospital attendance among patients with oesophagogastric cancer treated with home enteral nutrition

Abstract Background Nutritional optimisation is an essential component of prehabilitation and enhanced recovery for patients with oesophageal gastric cancer, but may be associated increased burden inpatient care. The aim this study was to determine risk factors complications unplanned hospital attendance among treated home enteral nutrition. Methods Consecutive or cancer commencing nutrition from March 2020-June 2021 were prospectively studied. primary outcome measure the incidence feeding requiring attendance. Univariable multivariable linear logistic regression used independently morbidity healthcare utilisation. Results 70 studied (27% pre neoadjuvant therapy, 63% postoperative; 19% gastrostomy, 81% jejunostomy). Tube occurred in 33% (25% 38% jejunostomy, P = 0.405), most commonly dislodgement (15%), fixation problem (13%), blockage (6%). Small bowel obstruction rare (1.4%). Inpatient length stay (LOS) following tube placement training 5.1±2.4 days (gastrostomy: 5.5±2.7, jejunostomy: 4.4±1.9 days, 0.074). 17 visits nine (13.0%) a cumulative LOS 71 days. On analysis undergoing therapy at greatest overall (OR19.34 [3.29–113.56], 0.001), (OR19.09 [2.35-155.11], 0.006) (P < 0.001). Older (OR1.14 [1.02–1.28], P=0.024) 0.034). Conclusions Unplanned common supplemental during treatment oesophagogastric cancer. Fixation problems account majority presentations, are more older those therapy. Pragmatic strategies optimise minimise need receiving urgently needed.