Cervical Esophagostomy in Head and Neck Cancer

English, Gerald M.; Morfit, H. Mason; Ratzer, Erick R.

doi:10.1001/archotol.1970.04310040029005

Cited by 19 publications

(5 citation statements)

References 3 publications

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“…3,4 Others have reported the use of pharyngostomy drainage following esophagectomy and for the use of long term gastric/intestinal decompression or enteral access for nutrition. [10][11][12] In all the reported series, the use of this technique has been shown to be safe and effective.…”

Section: Discussionmentioning

confidence: 99%

“…Nasogastric decompression has been associated with impaired hypopharyngeal function and a predisposition to sinusitis and pharyngitis. 1,2 Transcervical gastric tube drainage has been employed with good results in patients recovering from head and neck cancer operations 3,4 and those requiring prolonged enteral alimentation in lieu of gastrostomy or jejunostomy. 5 We report our experience with the use of transcervical gastric tube drainage as an alternative to nasogastric tube drainage following resection of the thoracic esophagus and gastroesophageal junction.…”

mentioning

confidence: 99%

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Transcervical Gastric Tube Drainage Facilitates Patient Mobility and Reduces the Risk of Pulmonary Complications After Esophagectomy

Schuchert

Pettiford

Landreneau

et al. 2008

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Transcervical Gastric Tube Drainage Facilitates Patient Mobility and Reduces the Risk of Pulmonary Complications After Esophagectomy

Schuchert

Pettiford

Landreneau

et al. 2008

Journal of Gastrointestinal Surgery

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“…The concept of creating a direct opening into the cervical esophagus for enteral access is not unique 18 . Various techniques for creation of a cervical esophagostomy have been described 19‐24 . A standard esophagostomy can be created through a piriform sinus approach 19 , 20 .…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous cervical miniesophagostomy

Har‐El

Balwally

1995

Otolaryngol.--head neck surg.

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Nasogastric tubes have been shown to cause damage to the pharyngolaryngeal complex, producing laryngeal inflammation, granulation, muscle damage, and even vocal cord immobility. The coexistence of nasogastric and tracheotomy tubes after conservation laryngeal surgery is especially harmful. The friction between these two semirigid structures may result in damage to the remaining part of the larynx. This may result in a significant delay in healing, oral feeding, and decannulation. Percutaneous endoscopic gastrostomy is a possible solution. This procedure requires time, special expertise, and cooperation between services. We present our experience with 17 transcutaneous cervical miniesophagostomies using a small-caliber feeding tube, which were performed during conservation laryngeal and/or pharyngeal surgery. The rate of minor complications was 11.7%, or 0.40 complications per 100 tube days, and no major complications were related to the procedure. Transcutaneous cervical miniesophagostomy is a simple and quick procedure that may be performed during the primary cancer surgery. It is done by the head and neck surgeon and does not require special expertise. It takes about 5 minutes to perform and, if done correctly with tunneling under skin flaps, is associated with minimal or no postoperative morbidity.

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“…It was mainly used in patients who had impaired swallowing secondary to neuromuscular disorders and in patients with head and neck cancers with obstruction above the proximal esophagus. [5][6][7][8][9] Potential complications include infection, hemorrhage, aspiration, thoracic duct injury, recurrent laryngeal nerve injury, permanent fistula, and inadvertent tube dislodgment. 4 Cervical Pharyngostomy Shumrick 4 first described cervical pharyngostomy in 1967.…”

Section: Cervical Esophagostomy and Pharyngostomymentioning

confidence: 99%

“…This device cannot be used with balloon-tipped gastrostomies because cutting the tube will deflate the balloon and the tube can fall out. This technique was used in 18 PEG, 6 Stamm open surgical gastrostomies, 7 laparoscopic gastrostomies, and 2 jejunostomies. No mortalities or major complications were reported; however, 20 skin-level ports developed leakage and were changed with a new port-valve without removing the gastrostomy or jejunostomy tube.…”

Section: Gastric Buttonmentioning

confidence: 99%

Ins and Outs of Enteral Access: Part 2—Long Term Access—Esophagostomy and Gastrostomy

Vanek

2003

Nut in Clin Prac

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Access techniques for long-term enteral nutrition (over 4 to 6 weeks) includes cervical esophagostomy and pharyngostomy, gastrostomy, and jejunostomy. Cervical esophagostomy and pharyngostomy are rarely used since the advent of better long-term enteral access techniques that are easier to care for and have fewer complications; they are briefly reviewed only for historical completeness and to condemn their use. The different techniques of gastrostomy tube insertion and their indications, contraindications, advantages, and disadvantages are discussed. Part III (to be published in a later issue) of this series will review feeding jejunostomy.

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Cervical Esophagostomy in Head and Neck Cancer

Cited by 19 publications

References 3 publications

Transcervical Gastric Tube Drainage Facilitates Patient Mobility and Reduces the Risk of Pulmonary Complications After Esophagectomy

Transcervical Gastric Tube Drainage Facilitates Patient Mobility and Reduces the Risk of Pulmonary Complications After Esophagectomy

Transcutaneous cervical miniesophagostomy

Ins and Outs of Enteral Access: Part 2—Long Term Access—Esophagostomy and Gastrostomy

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