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[Valvular tube gastrostomy].

G Alpérine, J Lalaude, R Villedieu

    La Nouvelle Presse Medicale
    |May 24, 1975
    PubMed
    Summary
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    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:

    Related Experiment Videos

    • 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.