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KMID : 1188320100040000044
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Gut and Liver
2010 Volume.4 No. 0 p.44 ~ p.49
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Percutaneous Radiologic Gastrostomy: A 12-Year Series
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Perona Franco
Castellazzi Giorgio
Iuliis Alessandro De
Rizzo Laura
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Abstract
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Background/Aims: Interventional radiologists have played a main role in the technical evolution of gastrostomy, from the first surgical/endoscopical approaches to percutaneous interventional procedures. This study evaluated the results obtained in a 12-year series.
Methods: During the period December 1996 to December 2008, 254 new consecutive gastrostomies
and 275 replacement procedures were performed in selected patients. All of the cases were
treated by a T-fastener gastropexy and tube placement. The procedures were assessed by analyzing indications, patient selection, duration of the procedures, and mortality.
Results: All 254 first gastrostomies were successful; replacement procedures were also successfully performed. One (0.2%) patient with severe neurologic disorders died after the procedure without signs of procedure-related complications, and seven (1.3%) major complications occurred (four duodenal
lesions with peritoneal leakage, two gastric bleedings, and one gastric lesion). Minor complications
were easily managed; three tube ruptures were resolved.
Conclusions: This long-term series and follow- up showed that a group of interventional radiologist can effectively provide gastrostomy placement and long-term tube management. Percutaneous gastrostomy is less invasive than other approaches and it satisfies the needs even of high-risk patients.
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KEYWORD
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Gastrostomy, Percutaneous endoscopic gastrostomy, T-fastener, Percutaneous radiological gastrostomy
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