Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome.
Indian J Radiol Imaging
; 28(2): 225-231, 2018.
Article
em En
| MEDLINE
| ID: mdl-30050247
ABSTRACT
BACKGROUND:
Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures.AIM:
This study is done to assess the technical feasibility and outcome of IR-guided percutaneous gastrostomy for patients requiring nutritional support for neuromuscular disorders or head and neck malignancies, as well as to describe simplified and newer technique for pull-type gastrostomy. MATERIALS ANDMETHODS:
This is a retrospective study including 29 patients who underwent IR-guided percutaneous gastrostomy over a period of 8 years in a tertiary-level institution. Either pull or push-type gastrostomy was performed in these patients as decided by the interventional radiologist. The procedures were assessed by analyzing the indications, technical aspects, and complications. STATISTICALANALYSIS:
Descriptive summary statistics and frequencies were used to assess the techniques and related complications.RESULTS:
The sample consists of 27 patients (93%) with pull technique and 2 patients (7%) with push technique. The technical success rate was 100%. Most of the complications were minor 24% (7/29), including superficial skin infections around the tube site, self-resolving pneumoperitoneum, tube-related complications such as block, leakage, deformation, and dislodgement. Three patients (10.3%) had major complications. One patient (3.4%) developed massive pneumoperitoneum and mild peritonitis due to technical failure in the first attempt and needed re-puncture for successful placement, and other two patients (6.9%) developed peristromal focal abscess. One patient died on the third postoperative day due to type II respiratory failure.CONCLUSION:
IR-guided percutaneous gastrostomy is a safe and effective procedure in selected patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
Idioma:
En
Revista:
Indian J Radiol Imaging
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Índia