An Evaluation of the Fluoroscopy-guided Percutaneous Gastrostomy with the Pull Technique.
10.3348/jkrs.2008.58.4.375
- Author:
Chang Wook UHM
1
;
Jong Yun WON
;
Jeong Sik YU
;
Heung Kyu KO
;
Kwang Hun LEE
;
Do Yun LEE
;
Jong Tae LEE
Author Information
1. Department of Diagnostic Radiology, Yonsei University College of Medicine, Korea. jywon@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Gastrostomy;
Stomach;
Fluoroscopy;
Intubation;
Gastrointestinalg
- MeSH:
Ascites;
Ascitic Fluid;
Deglutition;
Drainage;
Endoscopy;
Fluoroscopy;
Gastropexy;
Gastrostomy;
Humans;
Intubation;
Motor Neuron Disease;
Mouth;
Muscular Dystrophies;
Parkinson Disease;
Punctures;
Quadriplegia;
Retention (Psychology);
SNARE Proteins;
Stomach
- From:Journal of the Korean Radiological Society
2008;58(4):375-379
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the safety and usefulness of the fluoroscopy-guided percutaneous gastrostomy (FPG) using a large profile gastrostomy tube accompanied with the pull technique, and without the use of an endoscopy or a gastropexy. MATERIALS AND METHODS: From March 2005 to February 2007, 25 patients underwent an FPG using a large profile gastrostomy tube accompanied by the pull technique, in which a 24F pull-type tube was inserted into a patient's mouth and was pulled to the upper abdominal puncture site using a snare, under fluoroscopy. The 18 patients with difficulty swallowing due to muscular atrophic lateral sclerosis or transitional myodystrophy included 5 cases of quadriplegia, 1 case of Parkinson's disease, and 1 metastatic mediastinal tumor. The technical success rate, occurrence of complications, and clinical outcomes were examined. RESULTS: The technical success rate was found to be 100%. In addition, the retention periods for the indwelling tube ranged from 1 to 24 months (mean: 6.5 months), with all tubes retained at a normal position with normal function. No procedure-related mortality occurred. One patient (4%) did however develop a complication in the form of ascites and ascitic fluid leakage around the tube, which was of hepatic origin and was ultimately resolved after the drainage of ascites. CONCLUSION: As a result of this study the FPG, accompanied with the pull technique using a 24F tube, should be considered as a safe and effective method for examining patients. It was found to have a high success rate and a low complication rate.
