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Percutaneous radiological gastrostomy: single-puncture double-anchor technique
U G Rossi1, F Petrocelli, S Seitun
1Dipartimento di Radiologia e Radiologia Interventistica, IRCCS Azienda Ospedaliera ed Universitaria San Martino, IST - Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy. urossi76@hotmail.com
La Radiologia Medica
|October 24, 2012
Summary
This study shows that the single-puncture double-anchor percutaneous radiological gastrostomy (PRG) is a quick and safe method. The technique proved effective for all patients, with minimal complications.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Surgical Techniques
Background:
- Percutaneous radiological gastrostomy (PRG) is a common procedure for enteral feeding.
- Traditional PRG techniques may involve multiple punctures or complex steps.
- A modified single-puncture, double-anchor technique aims to improve efficiency and safety.
Purpose of the Study:
- To evaluate the technical success, safety, and effectiveness of a modified PRG technique.
- To assess the outcomes of the single-puncture, double-anchor approach in a patient cohort.
Main Methods:
- A cohort of 163 patients underwent PRG using a single-puncture, double-anchor technique between January 2008 and June 2011.
- The procedure involved stomach puncture with a 17-gauge needle, placement of two anchors, and insertion of a 12-F gastrostomy catheter.
- Technical success and 30-day complications were assessed via imaging and medical records.
Main Results:
- The single-puncture, double-anchor PRG technique achieved 100% technical success in all 163 patients.
- The average procedure time was 9 minutes.
- Major complications occurred in 3 patients (hemorrhage, pneumoperitoneum), and minor complications in 10 (tube issues, leakage). Two patients died within 30 days.
Conclusions:
- The single-puncture, double-anchor PRG technique is a rapid, safe, and effective method.
- This modified approach offers a streamlined and successful option for gastrostomy placement.
