Percutaneous Radiologic Gastrostomy: A 12-Year Series.
- Author:
Franco PERONA
1
;
Giorgio CASTELLAZZI
;
Alessandro DE IULIIS
;
Laura RIZZO
Author Information
1. Alliance Medical Italy, Lissone, Italy. franco.perona@alliancemedical.it
- Publication Type:Original Article
- Keywords:
Gastrostomy;
Percutaneous endoscopic gastrostomy;
T-fastener;
Percutaneous radiological gastrostomy
- MeSH:
Follow-Up Studies;
Gastropexy;
Gastrostomy;
Humans;
Nervous System Diseases;
Patient Selection;
Rupture
- From:Gut and Liver
2010;4(Suppl 1):S44-S49
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Interventional radiologists have played a main role in the technical evolution of gastrostomy, from the first surgical/endoscopical approaches to percutaneous interventional procedures. This study evaluated the results obtained in a 12-year series. METHODS: During the period December 1996 to December 2008, 254 new consecutive gastrostomies and 275 replacement procedures were performed in selected patients. All of the cases were treated by a T-fastener gastropexy and tube placement. The procedures were assessed by analyzing indications, patient selection, duration of the procedures, and mortality. RESULTS: All 254 first gastrostomies were successful; replacement procedures were also successfully performed. One (0.2%) patient with severe neurologic disorders died after the procedure without signs of procedure-related complications, and seven (1.3%) major complications occurred (four duodenal lesions with peritoneal leakage, two gastric bleedings, and one gastric lesion). Minor complications were easily managed; three tube ruptures were resolved. CONCLUSIONS: This long-term series and follow-up showed that a group of interventional radiologist can effectively provide gastrostomy placement and long-term tube management. Percutaneous gastrostomy is less invasive than other approaches and it satisfies the needs even of high-risk patients.
