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Percutaneous fluoroscopic gastrostomy tube placement in patients with head and neck cancer
M E Beaver1, J N Myers, L Griffenberg
1Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
Objective:
To study the safety and efficacy of percutaneous fluoroscopic gastrostomy tube placement in patients with head and neck cancer.
Design:
We conducted a retrospective case review of 92 consecutive cases. Comparable access procedures and relevant literature were reviewed.
Setting:
Academic tertiary care center.
Patients:
Patients with head and neck cancer who underwent percutaneous fluoroscopic gastrostomy tube placement between January 1996 and July 1996.
Main Outcome Measures:
Immediate, delayed, and long-term complications; tube malfunction; and tube placement failure.
Results:
The major complication rate was 1%; the minor complication rate was 8%; and the tube malfunction rate was 13%. The rate of successful tube placement was 98%. None of the patients required hospitalization as a result of the procedure.
Conclusions:
Percutaneous fluoroscopic gastrostomy tube placement is a safe, economical, and comfortable method that has distinct advantages over other gastrostomy tube placement methods. It is recommended for enteral feeding and nutritional supplementation in patients with head and neck cancer.