Clinical observation of the location of gastric wall puncture points in X-ray assisted percutaneous fluoroscopical gastrostomy
10.3760/cma.j.cn115396-20231029-00111
- VernacularTitle:X射线透视下经皮胃造瘘术胃壁穿刺点位置的临床观察
- Author:
Chao ZHANG
1
;
Tao LUO
;
Guokun AO
;
Ang LI
;
Yu LI
;
Jukun WANG
Author Information
1. 首都医科大学宣武医院普通外科，北京 100053
- Keywords:
Gastric fistula;
Punctures;
Postoperative complications;
Percutaneous fluoroscopical gastrostomy;
X-ray;
Gastric type
- From:
International Journal of Surgery
2024;51(4):266-270
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between the location of puncture points and the occurrence of complications in X-ray assisted percutaneous fluoroscopic gastrostomy (PFG).Methods:The retrospective and descriptive study was conducted. The clinical data of a total of 67 patients, including the gender, age, etiology, nutritional status. All data of 67 patients who received with X-ray assisted PFG surgery during the period from January 2021 to January 2023 in Xuanwu Hospital of Capital Medical University were retrospectively analyzed. There were 42 males and 25 females, aged (57.3±12.6) years, ranging from 22 to 90 years old. The technical success rate, distribution of puncture points, and incidence of complications were described. The relationship between different gastric types and puncture sites and complications was analyzed. Measurement data with normal distribution were represented as mean±standard deviation ( ± s). Count data were represented as numbes and Pearson chi-square test was used between groups. Results:A total of 67 patients with dysphagia were included in our study, all of whom underwent X-ray assisted PFG in our institution. The technical success rate was 100%. In the empty state, the puncture point of 30 patients was located at the midpoint of the gastric cavity, 28 cases were leaned towards to the greater curvature, and 9 cases were leaned towards to the lesser curvature. No operation-related severe complications occurred, such as acute gastrointestinal bleeding and perforation. A total of 7 patients experienced varied degree of pain complication during follow-up period, including 5 cases of waterfall type stomach, which showed significant differences with other gastric types ( χ2=3.889, P=0.049). Pain complication of 6 patients was related to the location of the puncture point, with 5 cases leaning towards to the greater curvature and 1 case leaning towards to the lesser curvature. Conclusions:PFG surgery is safe and reliable, the gastric wall puncture point is not completely consistent between the empty and dilated gastric state. The occurrence of postoperative pain may be related to the patient′s gastric type pearson and changes in the position of the puncture point at the empty gastric state.
