The role of the interventional radiologist in enteral alimentation

Given, Mark F.; Lyon, Stuart M.; Lee, M. J.

doi:10.1007/s00330-003-1911-y

Cited by 33 publications

(18 citation statements)

References 38 publications

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“…Disruption of normal swallowing in the elderly because of stroke or degenerative neurological conditions is another indication of the procedure 38,39. With a combination of ultrasound and X-ray guided gastropexy various types of gastrostomy or gastrojejunostomy tubes may be inserted.…”

Section: Palliative Stenting Of the Gastrointestinal Tractmentioning

confidence: 99%

Interventional radiology in the elderly

Κατσάνος

Ahmad²,

Dourado³

et al. 2008

CIA

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Interventional radiological percutaneous procedures are becoming all the more important in the curative or palliative management of elderly frail patients with multiple underlying comorbidities. They may serve either as alternative primary minimally invasive therapies or adjuncts to traditional surgical treatments. The present report provides a concise review of the most important interventional radiological procedures with a special focus on the treatment of the primary debilitating pathologies of the elderly population. The authors elaborate on the scientific evidence and latest developments of thermoablation of solid organ malignancies, palliative stent placement for gastrointestinal tract cancer, airway stenting for tracheobronchial strictures, endovascular management of aortic and peripheral arterial vascular disease, and cement stabilization of osteoporotic vertebral fractures. The added benefits of high technical and clinical success coupled with lower procedural mortality and morbidity are highlighted.

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Section: Palliative Stenting Of the Gastrointestinal Tractmentioning

confidence: 99%

Interventional radiology in the elderly

Κατσάνος

Ahmad²,

Dourado³

et al. 2008

CIA

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“…37,38 A radiologic percutaneous method for gastrostomy placement also has been described. 9 Advantages of this latter technique include feasibility in the presence of high-grade pharyngeal or esophageal obstruction and the ability to fluoroscopically visualize and thereby avoid bowel overlying the stomach. A detailed discussion of endoscopic techniques for enteral nutrition and comparison with radiologic and surgical approaches can be found in another ASGE document.…”

Section: Procedures Considerationsmentioning

confidence: 99%

The role of endoscopy in enteral feeding

Jain¹,

Maple²,

Anderson³

et al. 2011

Gastrointestinal Endoscopy

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“…Most of these risk factors were present in our patient. To avoid this complication other gastrostomy tube placement methods, with no contact with the neoplastic lesion, could be used, like the push method [10], the use of a flexible overtube [11], or radiology-assisted gastrostomy [12]. …”

Section: Discussionmentioning

confidence: 99%

Pain and Swelling after Percutaneous Endoscopic Gastrostomy Removal: An Unexpected Evolution

Queirós

Sousa

Antunes

et al. 2018

GE Port J Gastroenterol

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Gastrostomy site metastization is considered an uncommon complication of percutaneous endoscopic gastrostomy (PEG) placement in patients with head and neck tumours, but it is important to consider this possibility when evaluating gastrostomy-related symptoms. The authors present the case of a 40-year-old male with excessive alcohol consumption and active smoking, diagnosed with a stage IV oropharyngeal squamous cell carcinoma. The patient developed a paraneoplastic demyelinating motor polyneuropathy that, associated with tumour mass effect, caused dysphagia with need for nasogastric tube feeding. Treatment with radiotherapy and then chemoradiotherapy was administered and a PEG was placed with the pull method. Cancer remission and resolution of polyneuropathy was achieved, so PEG was removed. Two weeks later, the patient presented with pain and swelling at the gastrostomy site suggesting a local abscess, with improvement after drainage and antibiotic therapy. After 1 month, there was a tumour mass at the gastrostomy site and an oropharyngeal cancer metastasis was diagnosed. The patient underwent surgical excision of abdominal wall metastasis and abdominal disease was controlled. Nevertheless, there was subsequent oropharyngeal neoplasia recurrence and the patient died 6 months later. This case raises the discussion about gastrostomy placement methods that could avoid gastrostomy site metastization, the possible differential diagnosis, and diagnostic workout. Surgical resection may allow metastatic disease control, but by primary disease evolution greatly affects prognosis.

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The role of the interventional radiologist in enteral alimentation

Cited by 33 publications

References 38 publications

Interventional radiology in the elderly

Interventional radiology in the elderly

The role of endoscopy in enteral feeding

Pain and Swelling after Percutaneous Endoscopic Gastrostomy Removal: An Unexpected Evolution

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