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Radiologically guided placement of pull-type gastrostomy tubes
G X Szymski1, A N Albazzaz, B Funaki
1Department of Radiology, University of Chicago, IL 60637, USA.
Radiology
|December 11, 1997
Summary
Percutaneous pull-type gastrostomy tube placement is safe and effective, achieving a 98% success rate with minimal complications. Radiologists can perform this procedure, reducing risks like peritonitis and tract disruption.
Area of Science:
- Radiology
- Gastroenterology
- Interventional Procedures
Background:
- Traditional pull-type gastrostomy tube placement often requires endoscopic guidance.
- Percutaneous techniques offer an alternative approach for gastrostomy tube insertion.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous pull-type gastrostomy tube placement without endoscopic guidance.
- To assess the complication rates associated with this minimally invasive technique.
Main Methods:
- Sixty-three pull-type gastrostomy tubes were placed in 64 patients between September 1995 and March 1997.
- The procedure involved retrograde catheterization of the esophagus through the stomach, followed by pulling the gastrostomy tube.
- Radiologists performed the percutaneous placements.
Main Results:
- Successful gastrostomy tube placement was achieved in 98% (63 of 64 patients) over 65 attempts.
- Major complications occurred in 5% of patients (exit site infection, prolonged bleeding).
- Minor complications included placement failure, infection, leakage, migration, and inadvertent removal, with no cases of peritonitis or tract disruption.
Conclusions:
- Percutaneous pull-type gastrostomy tube placement is a safe and effective method.
- The technique minimizes the risk of serious complications such as tract disruption and peritonitis.
- Radiologists can successfully perform this procedure.