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CT-Guided Percutaneous Radiologic Gastrostomy for Patients with Head and Neck Cancer: A Retrospective Evaluation in 177 Patients

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Abstract

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.

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Acknowledgments

We are grateful to the Department of Otolaryngology, Department of Oral and Maxillofacial Surgery, and Nutrition Support Team at Iwate Medical University. We also wish to thank Ms. Nozomi Numakunai for providing the illustrations.

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Authors and Affiliations

  1. Department of Radiology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, 020-8505, Japan

    Akio Tamura, Kenichi Kato, Michiko Suzuki, Ryoichi Tanaka, Tatsuhiko Nakasato & Shigeru Ehara

  2. Department of Diagnostic Radiology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Miyuki Sone

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  1. Akio Tamura
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  2. Kenichi Kato
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Correspondence to Akio Tamura.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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No additional consent was obtained for the retrospective analysis of the clinical records.

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Tamura, A., Kato, K., Suzuki, M. et al. CT-Guided Percutaneous Radiologic Gastrostomy for Patients with Head and Neck Cancer: A Retrospective Evaluation in 177 Patients. Cardiovasc Intervent Radiol 39, 271–278 (2016). https://doi.org/10.1007/s00270-015-1170-8

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