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At least 19 recordsLinked to original sources
PubMed2006

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.

Enteral Nutrition↗
PubMedDate not supplied

Percutaneous needle pharyngostomy.

Pharyngostomy is a technique of proven usefulness in patients requiring extra oral enteric access. Techniques to perform this have required an operating room, general anesthesia, and the associated risks. We have developed a technique for needle pharyngostomy that can be performed at the bedside of an awake patient. We utilize a central venous catheter tray and a small bore feeding tube to do this procedure. We have performed this on 17 patients without a procedural complication. This form of enteric access has allowed total nutritional support for up to 2 yr. Two late infections at the pharyngostomy site have occurred; both were easily controlled with oral antibiotics. This technique is recommended for patients who repeatedly pull out feeding tubes or are planning home enteral nutrition.

Adult↗
PubMed1992

Percutaneous pharyngostomy versus gastric tube placement in head injured patients. A prospective comparative study of 50 patients.

The author reports a prospective comparative study in two groups of patients with head injuries where the complications of conventional nasal placement of nasogastric tubes are compared to placement by pharyngostomy. Percutaneous pharyngostomy is a simple procedure that eliminates some of the complications associated with the use of nasogastric tubes. It has particular advantages in patients with maxillofacial- and skull base injuries, is well tolerated in patients with a depressed level of consciousness and eliminates some of the infective complications associated with the use of nasogastric tubes.

Adult↗
PubMed1991

Complications of pharyngostomy.

An account is given of a fatal complication following the use of a pharyngostomy feeding tube. The literature on this topic is reviewed with regard to complications. Of the 671 patients that have been reported previously there have been no fatal or serious complications and minor complications were reported in only 42 patients. We regard the technique of pharyngostomy to be safe but recommendations are made to avoid the complication reported here.

Aged↗
PubMed2006

Cervical pharyngostomy: an alternative approach to enteral feeding.

Surgical patients may be unable or unwilling to feed normally, owing to mechanical obstruction to ingestion because of nausea or anorexia or secondary to neurologic abnormality. Such patients may be in a malnourished state that compromises their chances of successful recovery. The Nasogastric tube (NGT) has been the standard method of postoperative alimentation in head and neck cancer patients. However, prolonged use of an NGT has been associated with many problems. Percutaneous endoscopic gastrotomy (PEG) tubes are generally easier to manage and more esthetically pleasing than NGTs. However, they are associated with their own set of shortcomings. Problems and complications with traditional NGT led us to evaluate feeding tubes placed through a cervical pharyngostomy. We present our experience with this technique in 15 patients in whom it was used for postoperative feeding after oropharyngeal cancer resection and reconstruction. The cervical pharyngostomy technique has proven to be a safe, reliable, cost-effective and convenient method for postoperative feeding.

Adult↗
PubMed1977

Cervical pharyngostomy.

The technique of cervical pharyngostomy is presented as a safe alternative procedure to the nasogastric tube for patients requiring prolonged periods of gastrointestinal decompression or tube feeding. The results in 21 cases are described. The complication rate is low and the use of cervical pharyngostomy is therefore justified in that it reduces patient discomfort and makes treatment more efficient.

Enteral Nutrition↗
PubMed2005

Percutaneous cervical pharyngostomy: a traditional technique revisited.

Enteral tube feeding is widely used in intensive care units, high dependency units and general wards. In some patients, an adequate intake is not maintained because patients cannot tolerate the tube. Insertion of an enteral feeding tube via a pharyngostomy is simple and potentially more easily tolerated. We describe our experience with three critically ill patients, using disposable vascular access equipment and a dilational technique. All three patients received markedly increased nutrition, but one patient suffered haemorrhagic complications.

Aged↗
PubMed1991

[Cervical pharyngostomy: feeding method for patients with severe facial trauma].

A pharyngostomy is an alternative feeding method for patients with severe facial trauma where prolonged feeding is indicated. Oro- and nasogastric feeding are the other more well-known methods. A special intubation instrument has been developed to facilitate blunt dissection of cervical tissue and placement of the feeding tube. This particular technique and instrument has been used in 11 cases. The main aim and advantage of this technique is that the nasal and oral cavity can be kept clear of tubes which are a source of irritation and discomfort postoperatively in areas of extensive facial trauma.

Enteral Nutrition↗
PubMed1988

Pharyngostomy with double tube and anastomosis in the posterior wall of the stomach as a method of avoiding leakage after esophagectomy.

The cervical esophagogastrostomy is a surgical method that has frequent fistula-like complications and it increases the morbidity and mortality rate in surgical treatment for carcinoma of the esophagus. One-hundred and thirty-eight instances of carcinoma of the esophagus were treated surgically from 15 October 1968 to 30 April 1986. In the last 15 instances (10.8 per cent), esophageal anastomosis with the posterior wall of the stomach was done. The decompression of anastomosis and enteral nutrition are done by a Kher drain and Levine catheter, respectively, that are exteriorized by a pharyngostomy. With this method, no fistulas occurred after cervical esophagogastrostomy.

Esophageal Fistula↗
PubMed1984

Percutaneous cervical pharyngostomy. A comfortable and convenient alternative to protracted nasogastric intubation.

For patients who require lengthy periods of enteral nutrition or gastrointestinal decompression, the use of a tube placed through a cervical pharyngostomy provides a convenient means of access to the upper gastrointestinal tract. The discomfort and complications of nasogastric intubation can be avoided, and the use of parenteral nutrition can be reduced in many cases where the gastrointestinal tract is functioning but the patient is unable to ingest food normally. The result of this technique in 42 patients over a 4 year period have been described herein. The patients found the method comfortable, cosmetically acceptable, and easily managed both in the hospital and at home. The technique of inserting the tube through the pyriform sinus is easy and safe to perform, and there have been no major complications in using the technique for periods up to 119 days. If accidentally displaced, the tube is easily reinserted through the neck without special equipment and with no discomfort. The method can provide a considerable improvement in the effectiveness of overall patient management. We suggest it could be more widely used in general surgical practice.

Adenocarcinoma↗
PubMed1989

A device to perform percutaneous cervical pharyngostomy (PCP) for enteral nutrition.

Percutaneous Cervical Pharyngostomy (PCP) is a technique of proven usefulness in Enteral Nutrition and has been used for over 20 years. The procedure has been modified to make it less traumatic and easier to perform. To further improve the technique we have developed a special device, with which it can be performed with minimum trauma under local anaesthesia, and with a smaller number of manoeuvres when compared with previous techniques. In addition, it gives rise to less occupation of the pharyngostomic passage by the nutritional tube (8 Fr.). We have successfully utilised this device on 37 patients, in whom the procedure took no more than 15 minutes. We had no technical complications. Based on our experience, we think that the use of this device makes the application of PCP easier in Enteral Nutrition.

Journal Article↗
PubMed1983

[Conservative treatment of esophagus ruptures and perforations. Esophageal diversion by minimal pharyngostomy].

In ruptures or perforation of the oesophagus, the difficult choice between conservative methods (suture or drainage) and total exclusion of the organ can be avoided by minimal pharyngostomy. This procedure, which supersedes lateral oesophagostomy and makes use of an aspiration silicone-lined catheter to divert the oesophageal contents, is simple, rapid, effective and reversible. It is carried out in a region devoid of dangerous anatomical variants, in the avascular space below the greater cornu of the hyoid bone (a palpable landmark), the incision being made on the convexity of a curved clamp which pushes back the pharyngeal wall at the level of the sinus pyriformis. This technique has been used in 13 patients with satisfactory results.

Esophageal Diseases↗