26 February 2010
Local infection after percutaneous endoscopic gastrostomy in ENT tumor patients: evaluation of the influence of the abdominal thickness and other parameters
Konstantinos MantsopoulosABCDEF, Johannes ZenkABDEG, Peter C. KonturekEF, Heinrich IroAEGMed Sci Monit 2010; 16(3): CR116-123 :: ID: 878460
Abstract
Background
The percutaneous endoscopic gastrostomy is the method of choice in patients with advanced tumours of the upper aerodigestive tract, after surgery or before radiochemotherapy, for the establishment of a sufficient nutrition therapy. The aim of this observation study was to investigate, to what extent the abdominal thickness and other factors have an influence on the rate of peristomal infection after a percutaneous endoscopic gastrostomy.
Material and Method
Percutaneous endoscopic gastrostomy was performed on 135 patients in 2008-2009. 101 patients were fully evaluated and included in the study. The different layers of the abdominal wall were measured with B-scan ultrasound (7.5 MHz). Furthermore, potential patient-related risk factors (gender, age, nutritional status (Body Mass Index, Nutritional Risk Score, total serum protein, the tumor stage and presence of Diabetes mellitus) and their effect on the occurrence of a wound infection were evaluated.
Results
A peristomal infection was documented in 21.8% of the patients (22/101). Serious complications were not observed. There were no statistically significant predictors for the occurrence of a peristomal infection detected.
Conclusions
The hypothesis that the abdominal wall thickness has an influence on the rate of the peristomal infection is not confirmed. This is of clinical relevance in patients, who are still in a relatively good general and nutritional condition before radiochemotherapy. The intraoperative ultrasonography can be used to guide catheter insertion while providing a safe adjunct to confirm proper tube placement and minimizing the risk of inadvertently entering adjacent intraabdominal organs.
Keywords: Insufflation, Head and Neck Neoplasms - therapy, Gastrostomy - adverse effects, Gastroscopy - adverse effects, Body Mass Index, Abdomen - ultrasonography, Muscles - pathology, Surgical Wound Infection - etiology
Editorial
01 March 2025 : Editorial
Editorial: The World Health Organization (WHO) Updated List of Emerging and Potentially Pandemic Pathogens Includes Yersinia pestis as Plague Vaccines Await Clinical TrialsDOI: 10.12659/MSM.948672
Med Sci Monit 2025; 31:e948672
In Press
Review article
Regulatory Efforts and Health Implications of Energy Drink Consumption by Minors in PolandMed Sci Monit In Press; DOI: 10.12659/MSM.947124
Review article
Current Trends and Innovations in Oral and Maxillofacial ReconstructionMed Sci Monit In Press; DOI: 10.12659/MSM.947152
Clinical Research
The Role of the Vojta Method in Diagnosing and Enhancing Motor Skills in Preterm Infants: A Prospective Ope...Med Sci Monit In Press; DOI: 10.12659/MSM.945495
Clinical Research
Comparative Outcomes of Robot-Assisted vs Traditional Laparoscopic Ureteral Reimplantation for Lower Ureter...Med Sci Monit In Press; DOI: 10.12659/MSM.946803
Most Viewed Current Articles
17 Jan 2024 : Review article 7,354,048
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research 702,440
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Mar 2024 : Editorial 27,976
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...DOI :10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
28 Jan 2024 : Review article 22,314
A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and FutureDOI :10.12659/MSM.943912
Med Sci Monit 2024; 30:e943912