O'Dwyer T P, Gullane P J, Awerbuch D, Ho C S
Department of Otolaryngology--Head and Neck Surgery, University of Toronto, Ontario.
Laryngoscope. 1990 Jan;100(1):29-32. doi: 10.1288/00005537-199001000-00007.
Since the beginning of this decade major advances have taken place in the alimentation of patients with tumors of the head and neck. Gauderer and Ponsky described a percutaneous method of gastrostomy and, in 1983, a number of radiologists, including the senior author, described a percutaneous radiologic method using the Seldinger technique to create a feeding gastrostomy. This method is ideally suited for patients with advanced tumors of the head and neck because it requires neither endoscopy nor general anesthesia. Over the past 5 years, 55 patients with tumors of the head and neck have undergone this procedure. Eighty-one percent of the patients had advanced disease at initial presentation. One patient (1.8%) had a procedure-related death and another patient (1.8%) had a complication that required a laparotomy. Three patients (5.4%) had minor complications that required minimal medical attention. None of the patients required general anesthesia and an endoscopy was not required. Patient discomfort during the procedure was minimal.
自本世纪初以来，头颈部肿瘤患者的营养支持方面取得了重大进展。高德勒和庞斯基描述了一种经皮胃造口术，1983年，包括资深作者在内的一些放射科医生描述了一种使用塞尔丁格技术创建喂养胃造口术的经皮放射学方法。这种方法非常适合头颈部晚期肿瘤患者，因为它既不需要内镜检查也不需要全身麻醉。在过去5年中，55名头颈部肿瘤患者接受了该手术。81%的患者在初次就诊时患有晚期疾病。1名患者（1.8%）发生了与手术相关的死亡，另1名患者（1.8%）出现了需要剖腹手术的并发症。3名患者（5.4%）出现了需要很少医疗护理的轻微并发症。所有患者均无需全身麻醉，也不需要内镜检查。手术过程中患者的不适感最小。
