Percutaneous feeding gastrostomy in patients with head and neck tumors: a 5-year review

The Laryngoscope
T P O'DwyerC S Ho

Abstract

Since the beginning of this decade major advances have taken place in the alimentation of patients with tumors of the head and neck. Gauderer and Ponsky described a percutaneous method of gastrostomy and, in 1983, a number of radiologists, including the senior author, described a percutaneous radiologic method using the Seldinger technique to create a feeding gastrostomy. This method is ideally suited for patients with advanced tumors of the head and neck because it requires neither endoscopy nor general anesthesia. Over the past 5 years, 55 patients with tumors of the head and neck have undergone this procedure. Eighty-one percent of the patients had advanced disease at initial presentation. One patient (1.8%) had a procedure-related death and another patient (1.8%) had a complication that required a laparotomy. Three patients (5.4%) had minor complications that required minimal medical attention. None of the patients required general anesthesia and an endoscopy was not required. Patient discomfort during the procedure was minimal.

Citations

Sep 1, 2004·Seminars in Interventional Radiology·Stuart M Lyon, Diane M Pascoe
Nov 1, 1994·The Proceedings of the Nutrition Society·F M Doyle, N P Kennedy

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