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BACKGROUND Percutaneous endoscopic gastrostomy for long term enteral nutrition is often indicated in patients with head, neck and oesophageal cancer but despite its growing popularity elsewhere, it is not widely used in India. METHODS Between March 1990 and July 1991, we performed percutaneous endoscopic gastrostomy in 54 patients. The primary sites of tumour were the hypopharynx (11), oral cavity (7), tongue (7), cricopharynx (7), oesophagus (16) and other sites (6). The indications were difficulty in swallowing following treatment (22), preoperative nutritional support (7) and terminal care (21). In 49 patients, it was performed by the 'pull' technique in the endoscopy room under local anaesthesia and mild sedation. Indigenously prepared tubes and blenderised foods were used. Fifteen patients underwent dilatation of the tumour prior to the gastrostomy. RESULTS The procedure was successful in 50 (93%) patients. Three failures were caused by obstructing tumours and one by a previous gastric resection. Feeding was started 18 to 24 hours after the procedure in 48 patients. No major complications occurred but minor complications were seen in 11 (22%) patients. Fourteen patients had their gastrostomy tube removed after 2 to 6 months of use while 15 patients undergoing therapy or with persistent dysphagia were on gastrostomy feeds for 1 to 6 months. Of the 21 terminally ill patients, 8 died, 6 were lost to follow up and 7 were on feeds for 1 to 6 months. CONCLUSIONS Percutaneous endoscopic gastrostomy is a simple, safe and effective method for long term enteral feeding. Indigenous tubes and home made blenderised foods are adequate substitutes for the more expensive commercial kits and enteral formulations.
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
February 1998,
Deutsche medizinische Wochenschrift (1946),
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
February 1998,
Deutsche medizinische Wochenschrift (1946),
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
February 1998,
Deutsche medizinische Wochenschrift (1946),
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
January 1987,
The Korean journal of internal medicine,
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
April 1993,
Lancet (London, England),
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
January 2000,
The journal of nutrition, health & aging,
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
June 2008,
Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae,
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
June 1993,
Lancet (London, England),
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
April 2014,
Voenno-meditsinskii zhurnal,
K M Mohandas, and
U R Dave, and
V Santhi Swaroop, and
D C Desai, and
V Dhir, and
S A Pradhan, and
H M Bathena, and
N M Kavarana
April 1994,
Schweizerische medizinische Wochenschrift,
