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Single-Step Method for Pull-Type Gastrostomy Tube Placement.
Shawn Ma1, Nicole A Lamparello2, Helen Paik1
1Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.
Journal of Vascular and Interventional Radiology : JVIR
|September 23, 2019
Summary
Single-step pull-type gastrostomy tube (PGT) placement is a safe and effective technique. This method achieved 100% success in gastrostomy tube placement with minimal complications.
Area of Science:
- Medical procedures
- Gastroenterology
- Interventional radiology
Background:
- Gastrostomy tube placement is essential for enteral nutrition.
- Traditional methods can be complex and require multiple devices.
- A simplified technique is needed to improve efficiency and reduce complications.
Purpose of the Study:
- To evaluate the efficacy and safety of single-step pull-type gastrostomy tube (PGT) placement.
- To assess the success rate and complication profile of this novel technique.
Main Methods:
- Retrospective review of 102 patients undergoing single-step PGT placement.
- Utilized a curved 18-gauge trocar needle for gastric puncture and retrograde cannulation.
- No sheath or snare was used during the procedure.
Main Results:
- 91% success rate in advancing the wire up the esophagus using the curved trocar.
- 100% successful gastrostomy tube placement.
- Low complication rate: 2 major and 2 minor complications within 30 days, unrelated to the technique.
- Mean fluoroscopy time was 5.1 minutes.
Conclusions:
- Single-step PGT placement is an effective, safe, and fast method.
- This technique is equipment-sparing and simplifies the gastrostomy procedure.
- It offers a viable alternative for gastrostomy tube placement.
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