The team performing the procedure consisted of: Krzysztof Korzeniowski, MD, Krzysztof Lamparski, MD, nurse Iwona Turek, electroradiology technician Anna Affek and anaesthesia team composed of Wojciech Romanik, MD, PhD, and nurse Iwona Pluta.
The procedure, performed in the interventional radiology laboratory, was carried out in a patient with advanced pyloric cancer, hospitalized in the Department of General, Gastroenterology and Oncologic Surgery, UCC MUW, headed by professor Maciej Słodkowski.
Due to the significant progression of the patient's disease, the passage of the endoscope to the first segment of the small bowel loop was impossible. The procedure was performed under sedation and local anaesthesia, under ultrasound and fluoroscopy guidance. The patient was discharged home two days after the procedure with a properly functioning jejunostomy.
This type of procedure allows minimally invasive placement of a feeding tube into the stomach or small bowel loop in patients who cannot undergo endoscopic surgery due to the advanced stage of head, neck, chest or, as in this case, stomach cancer. The technical success rate in this type of procedure is as high as 85-95% and complications are very rare with almost zero mortality.
Interventional radiology is a field of medicine that deals with minimally invasive procedures performed under the guidance of imaging studies such as ultrasound, computed tomography or X-ray fluoroscopy. Thanks to their low invasiveness, such procedures are much better tolerated by patients, allow for shorter hospitalisation periods and are performed in patients who cannot undergo surgery.
Phot. Karolina Krajewska/HAMMERmed Medical