1. Fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes in 102 patients
- Author
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Nevzat Ozcan, Guven Kahriman, and Halil Donmez
- Subjects
Adult ,Male ,medicine.medical_specialty ,Catheters ,Adolescent ,Iohexol ,medicine.medical_treatment ,Contrast Media ,Peritonitis ,Radiography, Interventional ,030218 nuclear medicine & medical imaging ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Fluoroscopy ,Radiology, Nuclear Medicine and imaging ,Aged ,Retrospective Studies ,Aged, 80 and over ,Gastrostomy ,Radiological and Ultrasound Technology ,medicine.diagnostic_test ,business.industry ,Stomach ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Catheter ,Parenteral nutrition ,medicine.anatomical_structure ,Female ,030211 gastroenterology & hepatology ,Radiology ,business ,medicine.drug - Abstract
Purpose The purpose of this study was to evaluate the technical and clinical results of fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes. Materials and methods This retrospective study included 102 patients (61 men, 41 women) with a mean age of 59 years ± 16.3 (SD) (range, 18–94 years) who had fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes. All procedures were performed after inflating the stomach with air via an orally inserted 5-Fr catheter by retrograde catheterization of the esophagogastric junction. Demographic data, results of the procedures and complications were evaluated. Results A technical success was observed in 101/102 patients, yielding a technical success rate of 99%. Complications due to the procedure were observed in 17/102 patients yielding a procedure-related complication rate of 16.7%. Procedure-related complications included peristomal superficial cellulitis (6/102; 5.9%), peristomal abscess (4/102; 3.9%), subcutaneous hematoma (3/102; 2.9%), peristomal leakage (2/102; 2%), inadvertent removal of the tube (1/102; 1%) and death due to procedure-related peritonitis (1/102; 1%). Conclusion Fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes is a feasible and effective method for enteral nutrition.
- Published
- 2017