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- Title
Fluoroscopically guided percutaneous gastrostomy with modified gastropexy and a large-bore balloon-retained catheter in patients with head and neck tumors.
- Authors
Chan, S.-C.; Ko, S.-F.; Ng, S.-H.; Cheung, Y.-C.; Chang, J.T.-C.; Liao, C.T.; Wang, H.-M.; Lui, K.-W.
- Abstract
<bold>Purpose: </bold>To report on fluoroscopically guided percutaneous gastrostomy (FPG) using a modified gastropexy technique with the insertion of a large-bore balloon-retained gastrostomy catheter in patients with head and neck tumors.<bold>Material and Methods: </bold>Thirty-four patients with head and neck tumors underwent a modified gastropexy with two T-fasteners followed by the insertion of a 14-F ballooon-retained catheter through a peel-away introducer. The success rate and the complications of the procedures were evaluated at 14 days, 30 days, and 60 days. The complications were classified as: major complications that necessitated intensive and/or surgical treatment; minor complications that could be treated conservatively; and tube-related complications manageable by tube exchange.<bold>Results: </bold>FPG was technically successful in all cases. There were no major complications, two minor complications where superficial stoma infection was controlled by antibiotics, three minor tube-related complications, all three easily managed by catheter replacement via the original tract.<bold>Conclusion: </bold>FPG with insertion of a large-bore balloon-retained catheter using a modified gastropexy technique is a safe and effective method that creates a feeding access for patients with head and neck tumors and esophageal obstruction. Minor complications can be managed conservatively. FPG may be a good alternative to surgical or percutaneous endoscopic gastrostomy.
- Subjects
GASTRONOMY; CATHETERS; HEAD tumors; NECK tumors; SURGICAL complications; INFECTION; ANTIBIOTICS; FLUOROSCOPY; GASTROSTOMY; INTERVENTIONAL radiology; TREATMENT effectiveness; TUMOR treatment
- Publication
Acta Radiologica, 2004, Vol 45, Issue 2, p130
- ISSN
0284-1851
- Publication type
journal article
- DOI
10.1080/02841850410003707