The Groshong catheter is a central venous catheter that can be inserted through the peripheral veins. In this study, we reviewed our experience with the use of this apparatus. The subjects comprised 21cases (total of 24 operations) between April 1998 and June 2000. The patients ranged in age from 18 to 87 years (mean 64 years) and included 12 males and 9 females. Six operations were performed for the treatment of gastric cancers,3 for colon cancers,3 for pancreatic cancers, and 9 for other diseases. The purpose for the use of the Groshong catheter was the administration of high calorie parenteral nutrition in 19 cases, chemotherapy in 4 cases, and another purpose in one case. The duration of device implantation ranged from 3 to 51 days, with an average of 18.9 days. There were 16 cases in which the catheter was removed prior to the termination of therapy. The reasons for removal included pyrogenic reactions in 10 cases, phlebitis in 4 cases, and other reasons in 2 cases. There was a high incidence of catheter removal before the termination of therapy, since early removal is our general policy when there are pyrogenic reactions during the placement of a central venous catheter. Apart from these minor complications, the Groshong catheter did not cause any other serious complications, and was technically easy to insert. Therefore, we concluded that this apparatus is very beneficial for the purposes of the continuous administration of carcinostatics or high calorie parenteral nutrition in cases there was no need to measure the central venous pressure.
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