PMID- 26148649
OWN - NLM
STAT- MEDLINE
DCOM- 20161024
LR  - 20220408
IS  - 1432-086X (Electronic)
IS  - 0174-1551 (Linking)
VI  - 39
IP  - 2
DP  - 2016 Feb
TI  - CT-Guided Percutaneous Radiologic Gastrostomy for Patients with Head and Neck 
      Cancer: A Retrospective Evaluation in 177 Patients.
PG  - 271-8
LID - 10.1007/s00270-015-1170-8 [doi]
AB  - PURPOSE: The purpose of this study was to assess the technical success rate and 
      adverse events (AEs) associated with computed tomography (CT)-guided percutaneous 
      gastrostomy for patients with head and neck cancer (HNC). MATERIALS AND METHODS: 
      This retrospective study included patients with HNC who had undergone CT-guided 
      percutaneous gastrostomy between February 2007 and December 2013. Information 
      regarding the patients' backgrounds, CT-guided percutaneous gastrostomy 
      techniques, technical success rate, and AEs were obtained from the medical 
      records. In all patients, the stomach was punctured under CT fluoroscopy with a 
      Funada gastropexy device. RESULTS: During the study period, 177 patients 
      underwent CT-guided percutaneous gastrostomy. The most common tumor location was 
      the oral cavity, followed by the pharynx and maxilla. The indication for 
      CT-guided percutaneous gastrostomy were tumor obstruction in 78 patients, 
      postoperative dysphagia in 55 patients, radiation edema in 43 patients, and 
      cerebral infarction in 1 patient. The technical success rate was 97.7 %. The 
      overall mean procedure time was 25.3 min. Major AEs occurred in seven patients 
      (4.0 %), including bleeding (n = 4), colonic injury (n = 1), gastric tear 
      (n = 1), and aspiration pneumonia (n = 1). Minor AEs occurred in 15 patients 
      (8.5 %), which included peristomal leakage (n = 6), irritation (n = 4), 
      inadvertent removal (n = 2), peristomal hemorrhage (n = 1), peristomal infection 
      (n = 1), and wound granulation (n = 1). The mean follow-up period was 111 days 
      (range 1-1106 days). CONCLUSION: Our study suggests that CT-guided gastrostomy 
      may be suitable in patients with HNC.
FAU - Tamura, Akio
AU  - Tamura A
AD  - Department of Radiology, Iwate Medical University School of Medicine, 19-1 
      Uchimaru, Morioka, 020-8505, Japan. a.akahane@gmail.com.
FAU - Kato, Kenichi
AU  - Kato K
AD  - Department of Radiology, Iwate Medical University School of Medicine, 19-1 
      Uchimaru, Morioka, 020-8505, Japan. kkato@iwate-med.ac.jp.
FAU - Suzuki, Michiko
AU  - Suzuki M
AD  - Department of Radiology, Iwate Medical University School of Medicine, 19-1 
      Uchimaru, Morioka, 020-8505, Japan. mamimichiko@me.com.
FAU - Sone, Miyuki
AU  - Sone M
AD  - Department of Diagnostic Radiology, National Cancer Center Hospital, 5-1-1 
      Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan. msone@me.com.
FAU - Tanaka, Ryoichi
AU  - Tanaka R
AD  - Department of Radiology, Iwate Medical University School of Medicine, 19-1 
      Uchimaru, Morioka, 020-8505, Japan. rtanaka@iwate-med.ac.jp.
FAU - Nakasato, Tatsuhiko
AU  - Nakasato T
AD  - Department of Radiology, Iwate Medical University School of Medicine, 19-1 
      Uchimaru, Morioka, 020-8505, Japan. nakasato@iwate-med.ac.jp.
FAU - Ehara, Shigeru
AU  - Ehara S
AD  - Department of Radiology, Iwate Medical University School of Medicine, 19-1 
      Uchimaru, Morioka, 020-8505, Japan. ehara@iwate-med.ac.jp.
LA  - eng
PT  - Journal Article
DEP - 20150707
PL  - United States
TA  - Cardiovasc Intervent Radiol
JT  - Cardiovascular and interventional radiology
JID - 8003538
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Gastrostomy/*methods
MH  - Head and Neck Neoplasms/*complications
MH  - Humans
MH  - Japan/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Postoperative Complications/*epidemiology
MH  - Radiography, Interventional/*methods
MH  - Retrospective Studies
MH  - Tomography, X-Ray Computed/*methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Chemoradiotherapy
OT  - Computed tomography
OT  - Gastrostomy
OT  - Head and neck cancer
EDAT- 2015/07/08 06:00
MHDA- 2016/10/25 06:00
CRDT- 2015/07/08 06:00
PHST- 2015/01/18 00:00 [received]
PHST- 2015/06/24 00:00 [accepted]
PHST- 2015/07/08 06:00 [entrez]
PHST- 2015/07/08 06:00 [pubmed]
PHST- 2016/10/25 06:00 [medline]
AID - 10.1007/s00270-015-1170-8 [pii]
AID - 10.1007/s00270-015-1170-8 [doi]
PST - ppublish
SO  - Cardiovasc Intervent Radiol. 2016 Feb;39(2):271-8. doi: 
      10.1007/s00270-015-1170-8. Epub 2015 Jul 7.