M E Beaver1, J N Myers, L Griffenberg, K Waugh. 1. Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
Abstract
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.
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.
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