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[Valvular tube gastrostomy]
La Nouvelle Presse Medicale
|May 24, 1975
Summary
Valvular tube gastrostomy offers a viable feeding solution for patients with esophageal or oropharyngeal cancer. Most survivors experience good to mediocre functional results, enabling continued feeding.
Area of Science:
- Gastroenterology
- Surgical Oncology
Context:
- Permanent alimentary gastrostomy is indicated for patients with advanced esophageal or oropharyngeal cancers.
- Valvular tube gastrostomy provides a surgical option for long-term enteral feeding in these challenging cases.
Purpose:
- To evaluate the outcomes and functional results of valvular tube gastrostomy in patients requiring permanent alimentary gastrostomy due to cancer.
Summary:
- Ninety patients with esophageal or oropharyngeal cancer underwent valvular tube gastrostomy.
- Early mortality was 11%, with no deaths attributed to suture issues.
- Among survivors beyond six months, 75% had very good results, 17% had mediocre results (feeding possible), and 8% required revision surgery.
Impact:
- Valvular tube gastrostomy demonstrates a favorable functional outcome for a majority of patients with advanced head and neck cancers requiring permanent feeding access.
- The procedure is associated with acceptable short-term mortality and manageable complication rates.