Tube pharyngostomy: a simple method for prolonged intubation of the foregut following oesophagogastric surgery.
Tube pharyngostomy involves the percutaneous passage of a tube through the pharynx as an alternative to nasogastric intubation. We use this method for upper gastrointestinal decompression after oesophagectomies and total gastrectomies where prolonged intubation of the foregut is anticipated. It is simple to perform and very well tolerated as compared to a nasogastric tube. The pharyngostomy tube can also be used for enteral feeding. We present here the technique in detail and our experience with 67 procedures over the last 6 years where only few minor complications were encountered. We also review the literature for previous reports of pharyngostomy.
Katsoulis
I E
IE
Department of Upper Gastrointestinal Surgery, West Hertfordshire Hospitals NHS Trust, Watford, UK. hrkats@yahoo.co.uk
Livingstone
J I
JI
Sagor
G R
GR
D004750:Enteral Nutrition / Q000379:methods; D016629:Esophagectomy; D005743:Gastrectomy; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D010613:Pharyngostomy / Q000379:methods*; D011183:Postoperative Complications