Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors
To review the complications, mortality rate and nutritional status of patients with head and neck cancer after fluoroscopically guided percutaneous gastrostomy (FPG). Methods: We retrospectively recruited 110 patients who had undergone FPG using 14-French balloon-retained catheters. The mortality ra...
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doaj-4c74b3fce9ca4772845b0ea51b2b5ef02020-11-24T22:56:06ZengElsevierJournal of the Formosan Medical Association0929-66462010-08-01109860360810.1016/S0929-6646(10)60098-8Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck TumorsSiu-Cheung Chan0Chiu-Wing Winnie Chu1Chun-Ta Liao2Kar-Wai Lui3Sheung-Fat Ko4Shu-Hang Ng5Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Linkou Medical Center and Keelung Hospital, TaoyuanDepartment of Diagnostic Radiology, The Chinese University of Hong Kong, Hong KongDepartment of Oto-Rhino-Laryngology, Chang Gung Memorial Hospital, Linkou Medical Center, TaoyuanDepartment of Diagnostic Radiology, Chang Gung Memorial Hospital, Linkou Medical Center and Keelung Hospital, TaoyuanDepartment of Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, TaiwanDepartment of Diagnostic Radiology, Chang Gung Memorial Hospital, Linkou Medical Center and Keelung Hospital, TaoyuanTo review the complications, mortality rate and nutritional status of patients with head and neck cancer after fluoroscopically guided percutaneous gastrostomy (FPG). Methods: We retrospectively recruited 110 patients who had undergone FPG using 14-French balloon-retained catheters. The mortality rate, procedural and catheter-related complications, and Eastern Cooperative Oncology Group performance status were reviewed. Peritonitis, abscess, septicemia and bleeding were defined as major complications. Tube-related problems, including dislodgment, obstruction, leakage, vomiting and infection, were classified as minor complications. Results: Patients were stratified according to Eastern Cooperative Oncology Group performance status as follows: grade 0 (n=6); grade 1 (n=22); grade 2 (n=44); grade 3 (n=29); and grade 4 (n=7). The respective complication rates were 21%, 24%, 26%, and 29% for grades 1–4; however, there were no significant intergrade differences. The rates of major and minor complications were 1.9% and 20.0%, respectively. A total of 47 (43.5%) patients succumbed due to cancer deterioration; however, there was no gastrostomy-induced mortality. The catheter-occlusion rate of 3.7% in this cohort was significantly lower than that reported in other pigtail-retained gastrostomy studies. Conclusion: FPG is a safe method with low mortality and complication rate for constructing long-term enteral access in patients with head and neck cancer and esophageal abnormalities, who have no endoscopic access to the stomach.http://www.sciencedirect.com/science/article/pii/S0929664610600988balloon-retained cathetercomplication ratefluoroscopically guided percutaneous gastrostomyhead and neck cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Siu-Cheung Chan Chiu-Wing Winnie Chu Chun-Ta Liao Kar-Wai Lui Sheung-Fat Ko Shu-Hang Ng |
spellingShingle |
Siu-Cheung Chan Chiu-Wing Winnie Chu Chun-Ta Liao Kar-Wai Lui Sheung-Fat Ko Shu-Hang Ng Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors Journal of the Formosan Medical Association balloon-retained catheter complication rate fluoroscopically guided percutaneous gastrostomy head and neck cancer |
author_facet |
Siu-Cheung Chan Chiu-Wing Winnie Chu Chun-Ta Liao Kar-Wai Lui Sheung-Fat Ko Shu-Hang Ng |
author_sort |
Siu-Cheung Chan |
title |
Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors |
title_short |
Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors |
title_full |
Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors |
title_fullStr |
Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors |
title_full_unstemmed |
Complications of Fluoroscopically Guided Percutaneous Gastrostomy With Large-bore Balloon-retained Catheter in Patients With Head and Neck Tumors |
title_sort |
complications of fluoroscopically guided percutaneous gastrostomy with large-bore balloon-retained catheter in patients with head and neck tumors |
publisher |
Elsevier |
series |
Journal of the Formosan Medical Association |
issn |
0929-6646 |
publishDate |
2010-08-01 |
description |
To review the complications, mortality rate and nutritional status of patients with head and neck cancer after fluoroscopically guided percutaneous gastrostomy (FPG).
Methods: We retrospectively recruited 110 patients who had undergone FPG using 14-French balloon-retained catheters. The mortality rate, procedural and catheter-related complications, and Eastern Cooperative Oncology Group performance status were reviewed. Peritonitis, abscess, septicemia and bleeding were defined as major complications. Tube-related problems, including dislodgment, obstruction, leakage, vomiting and infection, were classified as minor complications.
Results: Patients were stratified according to Eastern Cooperative Oncology Group performance status as follows: grade 0 (n=6); grade 1 (n=22); grade 2 (n=44); grade 3 (n=29); and grade 4 (n=7). The respective complication rates were 21%, 24%, 26%, and 29% for grades 1–4; however, there were no significant intergrade differences. The rates of major and minor complications were 1.9% and 20.0%, respectively. A total of 47 (43.5%) patients succumbed due to cancer deterioration; however, there was no gastrostomy-induced mortality. The catheter-occlusion rate of 3.7% in this cohort was significantly lower than that reported in other pigtail-retained gastrostomy studies.
Conclusion: FPG is a safe method with low mortality and complication rate for constructing long-term enteral access in patients with head and neck cancer and esophageal abnormalities, who have no endoscopic access to the stomach. |
topic |
balloon-retained catheter complication rate fluoroscopically guided percutaneous gastrostomy head and neck cancer |
url |
http://www.sciencedirect.com/science/article/pii/S0929664610600988 |
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