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Percutaneous needle pharyngostomy.

D L Bucklin, R B Gilsdorf

    JPEN. Journal of Parenteral and Enteral Nutrition
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    A new needle pharyngostomy technique offers safe, bedside enteric access for patients needing nutritional support. This minimally invasive procedure avoids operating room risks and is ideal for long-term or home enteral nutrition needs.

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    Area of Science:

    • Medical Procedures
    • Gastroenterology
    • Surgical Innovation

    Background:

    • Pharyngostomy provides essential extraoral enteric access for nutritional support.
    • Traditional pharyngostomy methods necessitate operating room use, general anesthesia, and associated risks.
    • Developing minimally invasive alternatives is crucial for patient safety and accessibility.

    Purpose of the Study:

    • To describe a novel technique for needle pharyngostomy.
    • To evaluate the feasibility and safety of performing pharyngostomy at the bedside in awake patients.
    • To assess the efficacy of this technique for long-term nutritional support.

    Main Methods:

    • A needle pharyngostomy technique was developed using a central venous catheter tray and a small bore feeding tube.

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  • The procedure was performed at the bedside on 17 patients who were awake.
  • Patient outcomes, including procedural complications and long-term nutritional support, were monitored.

    • Main Results:

    • The needle pharyngostomy procedure was successfully performed on 17 patients without any immediate complications.
    • This method provided total nutritional support for up to 2 years in the studied patients.
    • Two instances of late pharyngostomy site infections occurred, which were effectively managed with oral antibiotics.

    Conclusions:

    • Needle pharyngostomy is a safe and effective bedside technique for establishing extraoral enteric access.
    • This approach is particularly recommended for patients with difficulties maintaining traditional feeding tubes or those requiring home enteral nutrition.
    • The technique offers a viable alternative to traditional methods, reducing risks associated with operating room procedures.