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- Title
Pharyngostomy.
- Authors
KOONCE, CASSIDY J.; RICHARDS, WILLIAM O.; RODNING, CHARLES B.
- Abstract
A retrospective analysis of a prospective observational study of a cohort of patients who required prolonged foregut/midgut decompression/intraluminal stenting and/or enteral nutritional support was conducted. Those patients were intolerant of protracted nasogastric intubation. They also manifested hostile peritoneal cavities and therefore were not candidates for a laparoendoscopic gastrostomy or jejunostomy. Accordingly, they underwent insertion of a pharyngogastric or pharyngojejunal tube. With patients properly positioned and anesthetized and with attention to the anatomy of the superior carotid cervical triangle, those pharyngostomies and cannulations were performed safely and efficiently. The tubes remained indefinitely or were changed/removed ad libitum. Morbidity was nil and no mortality attributable to the procedure was observed. Pharyngostomy should be part of the armamentarium of all general surgeons.
- Subjects
PHARYNX surgery; STOMATOGNATHIC system; FOREGUT; ALIMENTARY canal; DECOMPRESSION (Physiology)
- Publication
American Surgeon, 2015, Vol 81, Issue 4, p349
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/000313481508100423