CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2021; 05(02): 106-109
DOI: 10.1055/s-0041-1741372
Original Article

Trans-Colostomy Placement of a Button Gastrostomy Tube for Malignant Bowel Obstruction in Patients with Peritoneal Carcinomatosis

Mizuki Ozawa
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
,
Miyuki Sone
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
,
Yasuaki Arai
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
,
Shunsuke Sugawara
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
,
Chihiro Itou
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
,
Shintaro Kimura
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
,
Daisuke Okamoto
2   Department of Radiology, Saiseikai Fukuoka General Hospital, Chuo-ku, Fukuoka, Japan
,
Masahiko Kusumoto
1   Department of Diagnostic Radiology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan
› Author Affiliations
Funding This study was funded by the National Cancer Center under the National Cancer Center Research and Development Fund (grant number 2020-J-3). The funding body had no role in the design of the study; collection, analysis, or interpretation of data; or in writing the manuscript.

Abstract

Purpose The aim of the study is to evaluate the feasibility, safety, and efficacy of the trans-colostomy placement of a button gastrostomy tube for patients with malignant bowel obstruction due to peritoneal carcinomatosis.

Material and Methods Data from seven consecutive patients who presented with malignant bowel obstruction due to peritoneal carcinomatosis involving the colostomy site and underwent trans-colostomy button gastrostomy tube placement between 2013 and 2020 were retrospectively reviewed. We assessed technical and clinical success rate, procedure time, duration of improvement, and complication rate.

Results The technical success rate of the trans-colostomy button gastrostomy tube placement was 100%, and average procedure time was 25 minutes. Clinical symptoms of malignant bowel obstruction resolved in four out of seven (57%) patients. Average duration of improvement in the four patients with clinical success was 170.8 days. There were no complications associated with the procedure.

Conclusion Trans-colostomy button gastrostomy tube placement might be a safe and feasible treatment option for patients with malignant bowel obstruction due to peritoneal carcinomatosis.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required. This retrospective study was approved by the Institutional Ethics Committee.


Informed Consent

This study has obtained IRB approval from the Institutional Ethics Committee and the need for informed consent was waived.


Consent for Publication

For this type of study consent for publication is not required.




Publication History

Publication Date:
15 January 2022 (online)

© 2022. The Pan Arab Interventional Radiology Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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