Archives of otolaryngology--head & neck surgery · 1998
Percutaneous fluoroscopic gastrostomy tube placement in patients with head and neck cancer.
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Beaver M E, Myers J N, Griffenberg L, Waugh K
Аннотация
OBJECTIVE: To study the safety and efficacy of percutaneous fluoroscopic gastrostomy tube placement in patients with head and neck cancer.
DESIGN: We conducted a retrospective case review of 92 consecutive cases. Comparable access procedures and relevant literature were reviewed.
SETTING: Academic tertiary care center.
PATIENTS: Patients with head and neck cancer who underwent percutaneous fluoroscopic gastrostomy tube placement between January 1996 and July 1996.
MAIN OUTCOME MEASURES: Immediate, delayed, and long-term complications; tube malfunction; and tube placement failure.
RESULTS: The major complication rate was 1%; the minor complication rate was 8%; and the tube malfunction rate was 13%. The rate of successful tube placement was 98%. None of the patients required hospitalization as a result of the procedure.
CONCLUSIONS: Percutaneous fluoroscopic gastrostomy tube placement is a safe, economical, and comfortable method that has distinct advantages over other gastrostomy tube placement methods. It is recommended for enteral feeding and nutritional supplementation in patients with head and neck cancer.
DESIGN: We conducted a retrospective case review of 92 consecutive cases. Comparable access procedures and relevant literature were reviewed.
SETTING: Academic tertiary care center.
PATIENTS: Patients with head and neck cancer who underwent percutaneous fluoroscopic gastrostomy tube placement between January 1996 and July 1996.
MAIN OUTCOME MEASURES: Immediate, delayed, and long-term complications; tube malfunction; and tube placement failure.
RESULTS: The major complication rate was 1%; the minor complication rate was 8%; and the tube malfunction rate was 13%. The rate of successful tube placement was 98%. None of the patients required hospitalization as a result of the procedure.
CONCLUSIONS: Percutaneous fluoroscopic gastrostomy tube placement is a safe, economical, and comfortable method that has distinct advantages over other gastrostomy tube placement methods. It is recommended for enteral feeding and nutritional supplementation in patients with head and neck cancer.