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Usage of prophylactic radiologically inserted gastrostomy in head and neck cancer patients

P I Mallinson¹, J Kyaw Tun, O R Byass

¹Department of Radiology, Hull Royal Infirmary, Hull & East Yorkshire Hospitals NHS Trust, Hull, UK. paul.mallinson@hey.nhs.uk

Clinical Radiology

|June 19, 2012

Abstract

Aim:

To assess outcomes and usage rate of prophylactic radiologically inserted gastrostomy (RIG) in head and neck cancer (HNC) patients.

Materials And Methods:

Outcome data of all HNC patients who underwent prophylactic RIG over a 22-month period (November 2007 to September 2009) in a tertiary referral centre were collected retrospectively. Thirty-day mortality, major and minor complication rates, and subsequent usage of the RIG were analysed.

Results:

Fifty-one HNC patients underwent prophylactic RIG. Three minor and no major immediate complications were identified. Sixteen minor and three major complications at 30-days were identified. Three (5.9%) major complications were identified. There was one death due to disease progression and not RIG insertion. The RIG was not used in 17.7% of patients post-procedure.

Conclusion:

Prophylactic RIG in HNC patients has a comparable mortality rate to RIG insertion in HNC patients with mixed indications. However, the number of cases where the gastrostomy is not used raises important concerns and warrants further investigation.

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