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[Radiologically assisted percutaneous gastro-/enterostomy--a retrospective analysis of 90 procedures]
P Mildenberger1, K Oberholzer, H U Kauczor
1Klinik und Poliklinik für Radiologie, Johannes Gutenberg-Universität Mainz.
Purpose:
To analyse retrospectively the indications, technique and results of radiologically induced gastrostomies or enterostomies.
Patients And Method:
Radiologically assisted gastrostomies or enterostomies were induced in 90 patients, mostly with high grade obstructions due to head and neck tumours or oesophageal tumours. 19/90 patients had had previous resection of the oesophagus or gastric operations.
Results:
A catheter was successfully introduced in all patients. In 11/90 patients this was followed by a two-stage procedure. In 16/90 patients puncture was performed under CT control because of some anatomical peculiarity. Serious complication occurred in 9/90 patients but in only one was surgery necessary. There were no deaths resulting from the procedure but mortality after 30 days was 6.7%.
Conclusion:
Radiologically assisted gastrostomies or enterostomies are a reliable and effective form of treatment even amongst difficult patients. The results and complications are comparable to those from endoscopic procedures.