U G Rossi1, F Petrocelli, S Seitun, L Patrone, C Ferro. 1. Dipartimento 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
Abstract
PURPOSE: We evaluated technical success, safety and effectiveness of percutaneous radiological gastrostomy (PRG) with a modified technique: single puncture and double anchor. MATERIALS AND METHODS: From January 2008 to June 2011, 163 patients underwent PRG with a single-puncture double-anchor technique. The stomach was punctured with a 17-gauge Chiba needle, and gastropexy was performed by placing two anchors in the gastric lumen. Finally, a 12-F Wills-Oglesby percutaneous gastrostomy catheter was inserted. Technical success and complications at 30 days were evaluated on the basis of imaging and patients' medical records. RESULTS: PRG was successfully completed in all 163 patients. Only a single puncture was required in all patients. The average PRG procedure time was 9 min. Three patients had major complications: haemorrhage (n=2) and pneumoperitoneum (n=1). Ten patients had minor complications: tube malfunction/breakage (n=9), and leakage through the insertion site (n=1). Two patients died 30 days after the procedure. CONCLUSIONS: Single-puncture double-anchor PRG is a fast, safe and effective technique.
PURPOSE: We evaluated technical success, safety and effectiveness of percutaneous radiological gastrostomy (PRG) with a modified technique: single puncture and double anchor. MATERIALS AND METHODS: From January 2008 to June 2011, 163 patients underwent PRG with a single-puncture double-anchor technique. The stomach was punctured with a 17-gauge Chiba needle, and gastropexy was performed by placing two anchors in the gastric lumen. Finally, a 12-F Wills-Oglesby percutaneous gastrostomy catheter was inserted. Technical success and complications at 30 days were evaluated on the basis of imaging and patients' medical records. RESULTS: PRG was successfully completed in all 163 patients. Only a single puncture was required in all patients. The average PRG procedure time was 9 min. Three patients had major complications: haemorrhage (n=2) and pneumoperitoneum (n=1). Ten patients had minor complications: tube malfunction/breakage (n=9), and leakage through the insertion site (n=1). Two patients died 30 days after the procedure. CONCLUSIONS: Single-puncture double-anchor PRG is a fast, safe and effective technique.
Authors: A Foster; M Given; E Thornton; T Geoghegan; F Keeling; F McGrath; M J Lee Journal: Cardiovasc Intervent Radiol Date: 2008-12-11 Impact factor: 2.740
Authors: F J Thornton; T Fotheringham; P J Haslam; F P McGrath; F Keeling; M J Lee Journal: Cardiovasc Intervent Radiol Date: 2002 Nov-Dec Impact factor: 2.740