Percutaneous Radiologic Gastrostomy Using the One-Anchor Technique in Patients after Partial Gastrectomy.
10.3348/kjr.2014.15.4.488
- Author:
Jung Hoon PARK
1
;
Ji Hoon SHIN
;
Heung Kyu KO
;
Jin Hyoung KIM
;
Ho Young SONG
;
Soo Hwan KIM
Author Information
1. Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea. jhshin@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Percutaneous radiologic gastrostomy;
Partial gastrectomy;
Percutaneous radiologic jejunostomy
- MeSH:
Aged;
Aged, 80 and over;
Analysis of Variance;
Feasibility Studies;
Female;
Gastrectomy/*methods;
Gastric Stump;
Gastrostomy/instrumentation/*methods;
Humans;
Jejunostomy/methods;
Male;
Middle Aged;
Operative Time;
Punctures/methods;
Radiography, Interventional;
Retrospective Studies;
Suture Anchors;
Treatment Outcome
- From:Korean Journal of Radiology
2014;15(4):488-493
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The purpose of our study was to assess the feasibility of performing percutaneous radiologic gastrostomy (PRG) in patients who had undergone partial gastrectomy and to evaluate factors associated with technical success. MATERIALS AND METHODS: Nineteen patients after partial gastrectomy, who were referred for PRG between April 2006 and April 2012, were retrospectively analyzed. The remnant stomach was punctured using a 21-gauge Chiba-needle. A single anchor was used for the gastropexy and a 12-Fr or 14-Fr gastrostomy tube was inserted. Data were collected regarding the technical success, procedure time, and presence of any complications. Univariable analyses were performed to determine the factors related to the technical success. RESULTS: Percutaneous radiologic gastrostomy was technically successful in 10 patients (53%), while a failed attempt and failure without an attempt were observed in 5 (26%) and 4 (21%) patients, respectively. Percutaneous radiologic jejunostomy was successfully performed in 9 patients who experienced technical failure. In the 10 successful PRG cases, the mean procedure time was 6.35 minutes. Major complications occurred in 2 patients, tube passage through the liver and pneumoperitonum in one and severe hemorrhage in the other. The technical success rate was higher in patients with Billroth I gastrectomy (100%, 6/6) than in patients with Billroth II gastrectomy (31%, 4/13) (p = 0.011). CONCLUSION: Percutaneous radiologic gastrostomy can be successfully performed using the one-anchor technique in approximately half of the patients after partial gastrectomy.
