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Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome
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 gastros...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038225/ https://www.ncbi.nlm.nih.gov/pubmed/30050247 http://dx.doi.org/10.4103/ijri.IJRI_393_17 |
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author | Karthikumar, Balasubramanian Keshava, Shyamkumar N Moses, Vinu Chiramel, George K Ahmed, Munawwar Mammen, Suraj |
author_facet | Karthikumar, Balasubramanian Keshava, Shyamkumar N Moses, Vinu Chiramel, George K Ahmed, Munawwar Mammen, Suraj |
author_sort | Karthikumar, Balasubramanian |
collection | PubMed |
description | 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 AND METHODS: 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. STATISTICAL ANALYSIS: 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. |
format | Online Article Text |
id | pubmed-6038225 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-60382252018-07-26 Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome Karthikumar, Balasubramanian Keshava, Shyamkumar N Moses, Vinu Chiramel, George K Ahmed, Munawwar Mammen, Suraj Indian J Radiol Imaging Interventional Radiology & Vascular 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 AND METHODS: 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. STATISTICAL ANALYSIS: 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. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6038225/ /pubmed/30050247 http://dx.doi.org/10.4103/ijri.IJRI_393_17 Text en Copyright: © 2018 Indian Journal of Radiology and Imaging http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Interventional Radiology & Vascular Karthikumar, Balasubramanian Keshava, Shyamkumar N Moses, Vinu Chiramel, George K Ahmed, Munawwar Mammen, Suraj Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome |
title | Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome |
title_full | Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome |
title_fullStr | Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome |
title_full_unstemmed | Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome |
title_short | Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome |
title_sort | percutaneous gastrostomy placement by intervention radiology: techniques and outcome |
topic | Interventional Radiology & Vascular |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038225/ https://www.ncbi.nlm.nih.gov/pubmed/30050247 http://dx.doi.org/10.4103/ijri.IJRI_393_17 |
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