PERCUTANEOUS RADIOLOGIC GASTROSTOMY: RESULTS AND COMPLICATIONS

Authors

  • Ishtiaq A Chishty
  • Zishan Haider
  • Dawar Khan
  • Sajida Pasha
  • Zafar Rafiq
  • Waseem Akhter

Abstract

Background: Percutaneous endoscopic gastrostomy is usually difficult in patients with malignantinvolvement of oral cavity, pharynx and esophagus. Flouroscopic guided insertion of Gastrostomycatheter with Gastropexy have gained acceptance because it is easy and less time consuming aswell as less invasive as compare to surgical procedure5. This study was done to evaluate the safetyand efficacy of percutaneous placement of gastrostomy with gastropexy using imaging guidance inpatients with oropharyngeal and esophageal cancers. Methods: Over five years, 105 patients werereferred to our department for percutaneous radiologic gastrostomy. In five patients the procedurewas not performed because of overlying viscera and high position of stomach. We performed 100gastrostomies with gastropexy procedures using seldinger technique. Results: Success rate forpercutaneous radiologic gastrostomy was 100%. No major complication had occurred. There were11 minor complications occurred including 4 stomal infection, 3 catheter obstruction, oneperitonism and three were extensive pneumoperitoneum. Stomal infection and catheter obstructionwere not related to procedure. So, our true minor complications were only 4 (4%) which iscomparable to literature. Conclusion: Percutaneous radiologic gastrostomy is an effective and safeprocedure for enteric access of nutrition in patients with oral, pharyngeal and esophageal cancerwhere percutaneous endoscopic gastrostomy is difficult.Keywords: Interventional procedure, Complications, Gastrostomy

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