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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.

Archives of Otolaryngology--Head & Neck Surgery

|October 17, 1998

Abstract

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.

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