1. Single-Step Method for Pull-Type Gastrostomy Tube Placement.
- Author
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Ma S, Lamparello NA, Paik H, Nadolski G, Stavropoulos W, Tischfield D, Gade T, and Shlansky-Goldberg RD
- Subjects
- Adult, Aged, Aged, 80 and over, Cost-Benefit Analysis, Equipment Design, Female, Fluoroscopy, Gastrostomy adverse effects, Gastrostomy economics, Hospital Costs, Humans, Male, Middle Aged, New York City, Philadelphia, Punctures, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Young Adult, Esophagus diagnostic imaging, Gastrostomy instrumentation, Radiography, Interventional economics, Stomach diagnostic imaging
- Abstract
Single-step pull-type gastrostomy tube (PGT) placement is a method involving gastric puncture with a curved 18-gauge trocar needle allowing retrograde cannulation of the gastroesophageal junction without use of a sheath or snare. This retrospective review of 102 patients who underwent single-step PGT placement demonstrated 91% success in advancing the wire up the esophagus using only the curved trocar. Successful placement of a gastrostomy tube was 100%. Two major and 2 minor complications occurred within 30 days, all unrelated to the single-step technique. Mean fluoroscopy time for all patients was 5.1 min (range, 1.5-19.2 min). Single-step PGT placement is an effective, safe, fast, and equipment-sparing method for gastrostomy placement., (Copyright © 2019 SIR. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
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