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KMID : 1103720080580040375
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Journal of the Korean Society of Radiology
2008 Volume.58 No. 4 p.375 ~ p.379
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An Evaluation of the Fluoroscopy-guided Percutaneous Gastrostomy with the Pull Technique
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Uhm Chang-Wook
Won Jong-Yoon
Yoo Jeong-Sik
Ko Heung-Kyu
Lee Kwang-Hoon
Lee Do-Youn
Lee Jong-Tae
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Abstract
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Purpose: To evaluate the safety and usefulness of the fluoroscopy-guided percutaneous gastrostomy (FPG) using a large profile gastrostomy tube accompanied with the pull technique, and without the use of an endoscopy or a gastropexy.
Materials and Methods: From March 2005 to February 2007, 25 patients underwent an FPG using a large profile gastrostomy tube accompanied by the pull technique, in which a 24F pull-type tube was inserted into a patient’s mouth and was pulled to the upper abdominal puncture site using a snare, under fluoroscopy. The 18 patients with difficulty swallowing due to muscular atrophic lateral sclerosis or transitional myodystrophy included 5 cases of quadriplegia, 1 case of Parkinson’s disease, and 1 metastatic mediastinal tumor. The technical success rate, occurrence of complications, and clinical outcomes were examined.
Results: The technical success rate was found to be 100%. In addition, the retention periods for the indwelling tube ranged from 1 to 24 months (mean: 6.5 months), with all tubes retained at a normal position with normal function. No procedure-related mortality occurred. One patient (4%) did however develop a complication in the form of ascites and ascitic fluid leakage around the tube, which was of hepatic origin and was ultimately resolved after the drainage of ascites.
Conclusion: As a result of this study the FPG, accompanied with the pull technique using a 24F tube, should be considered as a safe and effective method for examining patients. It was found to have a high success rate and a low complication rate.
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KEYWORD
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Gastrostomy, Stomach, Fluoroscopy, Intubation, Gastrointestinalg
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