Tube Feeding and Pyriformsinusotomy

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To the editor: Heymsfield and colleagues in the January 1979 issue (1) have recently described various enteral modalities of alimentation. In addition to nasogastric enteral feeding tubes we have found the use of tube-feeding via the pyriformsinusotomy procedure described by Schumrick (2) to be useful. With swallowing abnormalities resulting from cerebrovascular accidents and other conditions, this procedure offers the advantages of reduced risk of aspiration and subsequent pneumonitis in long-term alimentation; also, because the tube may be removed between meals and reinserted with little difficulty, the complications inherent with long-term nasogastric intubation are avoided, that is, esophageal erosion, ulcers, tracheoesophageal

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