Old-fashioned but modern tube cervical esophagostomy

Nasogastric tubes (NGT) are used widely for feeding and decompressions of stomach, but they are associated with several complications and discomfort. When prolonged use of NGT is required, percutaneous endoscopic gastrostomy (PEG) should be considered. However, PEG is not feasible for patients with...

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Bibliographic Details
Published in:The American journal of surgery 2006-09, Vol.192 (3), p.385-387
Main Authors: Higaki, Fumiyo, Oishi, Masahiro, Higaki, Takaya, Hayata, Yuu
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Cancer
Decompression
Deglutition Disorders - etiology
Deglutition Disorders - therapy
Dementia
Diseases of the digestive system
Enteral Nutrition
Esophagostomy - methods
Feeding tube
Fluoroscopy
Gastric cancer
General aspects
Hospitals
Humans
Intubation, Gastrointestinal - methods
Male
Medical sciences
Nasogastric tube
Ostomy
Palliative care
Patients
Percutaneous endoscopic gastrostomy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Terminal
Treatment Outcome
Tube cervical esophagostomy
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Description
Summary:Nasogastric tubes (NGT) are used widely for feeding and decompressions of stomach, but they are associated with several complications and discomfort. When prolonged use of NGT is required, percutaneous endoscopic gastrostomy (PEG) should be considered. However, PEG is not feasible for patients with previous gastrectomy. We have performed tube cervical esophagostomy (TCE) for such difficult cases of PEG. The current study focused on 7 patients requiring TCE for feeding or decompression from 2004 to 2005 at Tottori Municipal Hospital in Japan. The procedure is relatively simply to perform under local anesthesia and significant complications were not experienced. Feeding or decompressive TCE is useful alternative procedure in patients where PEG is not feasible or unacceptable.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2006.06.002