[Radiologically assisted percutaneous gastro-/enterostomy--a retrospective analysis of 90 procedures].
OBJECTIVE
To analyse retrospectively the indications, technique and results of radiologically induced gastrostomies or enterostomies.


METHODS
Radiologically assisted gastrostomies or enterostomies were induced in 90 patients, mostly with high grade obstructions due to head and neck tumours or oesophageal tumours. 19/90 patients had had previous resection of the oesophagus or gastric operations.


RESULTS
A catheter was successfully introduced in all patients. In 11/90 patients this was followed by a two-stage procedure. In 16/90 patients puncture was performed under CT control because of some anatomical peculiarity. Serious complication occurred in 9/90 patients but in only one was surgery necessary. There were no deaths resulting from the procedure but mortality after 30 days was 6.7%.


CONCLUSIONS
Radiologically assisted gastrostomies or enterostomies are a reliable and effective form of treatment even amongst difficult patients. The results and complications are comparable to those from endoscopic procedures.
Mildenberger
P
P
Klinik und Poliklinik für Radiologie, Johannes Gutenberg-Universität Mainz.
Oberholzer
K
K
Kauczor
H U
HU
Düber
C
C
Kurz
S
S
Schild
H
H
Thelen
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004766:Enterostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007422:Intestines / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging*
Radiologisch assistierte perkutane Gastro-/Enterostomie--Retrospektive Analyse von 90 Eingriffen.