Search

Your search keyword '"balloon-retained catheter"' showing total 2 results
Start Over Descriptor "balloon-retained catheter" Topic fluoroscopy
2 results on '"balloon-retained catheter"'

1. Complications of fluoroscopically guided percutaneous gastrostomy with large-bore balloon-retained catheter in patients with head and neck tumors.

Author

Chan, Siu-Cheung, Chu, Chiu-Wing Winnie, Liao, Chun-Ta, Lui, Kar-Wai, Ko, Sheung-Fat, and Ng, Shu-Hang

Subjects
FLUOROSCOPY, GASTROSTOMY, CATHETERS, HEAD tumors, NECK tumors, CANCER patients, CANCER-related mortality, CATHETERIZATION, LONGITUDINAL method, INTERVENTIONAL radiology, SURGICAL complications, TREATMENT effectiveness, RETROSPECTIVE studies, NUTRITIONAL status, EQUIPMENT & supplies, TUMOR treatment
Abstract

Background/purpose: 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. [ABSTRACT FROM AUTHOR]

Published
2010
Full Text
View/download PDF

2. Complications of fluoroscopically guided percutaneous gastrostomy with large-bore balloon-retained catheter in patients with head and neck tumors

Author

Kar-Wai Lui, Sheung-Fat Ko, Shu-Hang Ng, Siu-Cheung Chan, Chun-Ta Liao, and Chiu-wing Winnie Chu

Subjects
Adult, Male, medicine.medical_specialty, complication rate, medicine.medical_treatment, balloon-retained catheter, Nutritional Status, Radiography, Interventional, Catheterization, fluoroscopically guided percutaneous gastrostomy, Catheters, Indwelling, Postoperative Complications, medicine, Humans, Abscess, Aged, Retrospective Studies, Medicine(all), Aged, 80 and over, Gastrostomy, lcsh:R5-920, business.industry, Mortality rate, Head and neck cancer, General Medicine, Middle Aged, medicine.disease, Surgery, Catheter, Treatment Outcome, Head and Neck Neoplasms, Fluoroscopy, Cohort, Vomiting, head and neck cancer, Female, Radiology, medicine.symptom, Complication, business, lcsh:Medicine (General), Follow-Up Studies
Abstract

Background/Purpose 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.

Published
2009

Catalog

Books, media, physical & digital resources
See catalog results