Summary of Cases
Age (yr)/sex | Reason for RIG | Comorbidities | Complication | Additional complication | Follow-up (mo) | Learning points |
---|---|---|---|---|---|---|
78/Male | Base of tongue squamous cell carcinoma | Cerebrovascular accident, cardiac pacemaker | Arterial haemorrhage | Iatrogenic pulmonary oedema | 10 | Cessation of anticoagulant 48 hr before the procedure |
65/Male | Epiglottic squamous cell carcinoma | Chronic obstructive pulmonary disease | Gastric fluid leak, peritonitis, pneumo- peritoneum | Gastric fluid leak, partial-thickness burn, gastrostomy dehiscence, liver laceration | 8 | Replace any gastropexy sutures removed during the procedure and retain the sutures for 5–7 days |
75/Female | Supraglottic squamous cell carcinoma | Osteoporosis | Ileus and peritonitis due to tube penetration of colon | Gastrostomy tube crack and leakage | 30 | Provide oral barium the night prior to procedure to visualise colon |
81/Male | Radiation-induced mucositis, base of tongue squamous cell carcinoma | Gastro-oesophageal reflux disease, atrial fibrillation, cardiovascular disease, hypertension | Arterial haemorrhage, RIG site infection | - | 9 | Avoid gastrostomy placement near posterior wall of greater curvature |
RIG, radiologically inserted gastrostomy.