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Cervical Pharyngostomy For Tube Feeding

R. Barrett Noone, MD; William P. Graham III, MD
JAMA. 1971;216(2):334. doi:10.1001/jama.1971.03180280088028.
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To the Editor.—  In their response to the problem of long-term tube feeding of patients unable to swallow, Davis and Ziegler (214:1127, 1970) admit that no ideal method exists. They list the disadvantages of longterm nasogastric intubation and feeding gastrostomy, but offer no alternative procedure.We have reported1,2 the use of a simplified form of cervical pharyngostomy as a method which is more advantageous than the above techniques. This procedure involves placement of a feeding tube directly into the hypopharvnx at the pyriform sinus level through a simple stab wound in the side of the neck. It is performed with good tolerance when the patient is under local anesthesia. The distal end of the tube is then passed through the esophagus and into the stomach. The proximal end is secured by suture to the skin. At the end of the first week a sufficient tract has been formed


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