title: Percutaneous drainage and feeding gastrostomies in 100 patients.
abstract: Percutaneous gastrostomy was performed in 100 cancer patients. In 67 patients with bowel obstruction, the procedure was performed for gastric drainage with 24-28-F Malecot catheters inserted in one sitting. The remaining 33 patients had supragastric obstructions or fistulas and required 10-14-F pigtail catheters for feeding purposes. Average postgastrostomy hospitalization was 3.6 days. Drainage gastrostomies were ready for use immediately after the procedure, whereas use of feeding gastrostomies started on average within 2 days of tube insertion. There were no major complications or deaths related to the procedure. Percutaneous gastrostomy is a simple and safe procedure even when large-caliber catheters are used, and it does not require gastric fixation to the abdominal wall to prevent spillage into the peritoneum.
authors.affiliation: Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, Houston 77030.
authors.forename: F
authors.initials: F
authors.lastname: O'Keeffe
authors.forename: C H
authors.initials: CH
authors.lastname: Carrasco
authors.forename: C
authors.initials: C
authors.lastname: Charnsangavej
authors.forename: W R
authors.initials: WR
authors.lastname: Richli
authors.forename: S
authors.initials: S
authors.lastname: Wallace
authors.forename: R S
authors.initials: RS
authors.lastname: Freedman
mesh_terms: D000328:Adult; D000368:Aged; D004322:Drainage; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy