PERCUTANEOUS RADIOLOGIC GASTROSTOMY: RESULTS AND COMPLICATIONS
Abstract
Background: Percutaneous endoscopic gastrostomy is usually difficult in patients with malignantinvolvement of oral cavity, pharynx and esophagus. Flouroscopic guided insertion of Gastrostomy
catheter with Gastropexy have gained acceptance because it is easy and less time consuming as
well as less invasive as compare to surgical procedure5. This study was done to evaluate the safety
and efficacy of percutaneous placement of gastrostomy with gastropexy using imaging guidance in
patients with oropharyngeal and esophageal cancers. Methods: Over five years, 105 patients were
referred to our department for percutaneous radiologic gastrostomy. In five patients the procedure
was not performed because of overlying viscera and high position of stomach. We performed 100
gastrostomies with gastropexy procedures using seldinger technique. Results: Success rate for
percutaneous radiologic gastrostomy was 100%. No major complication had occurred. There were
11 minor complications occurred including 4 stomal infection, 3 catheter obstruction, one
peritonism and three were extensive pneumoperitoneum. Stomal infection and catheter obstruction
were not related to procedure. So, our true minor complications were only 4 (4%) which is
comparable to literature. Conclusion: Percutaneous radiologic gastrostomy is an effective and safe
procedure for enteric access of nutrition in patients with oral, pharyngeal and esophageal cancer
where percutaneous endoscopic gastrostomy is difficult.
Keywords: Interventional procedure, Complications, Gastrostomy
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