|
KMID : 1188320140080050495
|
|
Gut and Liver
2014 Volume.8 No. 5 p.495 ~ p.499
|
|
|
T-Fastener Migration after Percutaneous Gastropexy for Transgastric Enteral Tube Insertion
|
|
Ryan H. Sydnor
Stacey M. Schriber
Charles Yoon Kim
|
|
|
Abstract
|
|
|
Background/Aims:To determine the prevalence and time-course of t-fastener migration after gastropexy deployment.
Methods:We reviewed our procedural database for all percutaneous gastrostomy and gastrojejunostomy tube insertions performed over a 14-month period using a widely accepted t-fastener kit for gastropexy (Kimberly-Clark). Of 201 patients, 71 (41 males, 30 females; mean age, 56 years) underwent subsequent abdominal computed tomography (CT) imaging. The location and associated findings of each t-fastener were retrospectively recorded for each CT scan performed after the tube insertion.
Results:A total of 153 t-fasteners were deployed during 71 procedures with subsequent CT follow-up. In the short term (within 4 weeks after deployment), 5.1% of the t-fasteners had detached and were no longer present; 59.5% were intraluminal or within the gastric wall; and 35.5% were within the anterior abdominal wall musculature or subcutaneous. In the long term (>3 months), 48.6% of the t-fasteners had detached and were no longer present, 25.0% were intraluminal or within the gastric wall, and 26.4% were within the anterior abdominal wall musculature or subcutaneous. No t-fastener-related complications, such as abscesses, fluid collections, or fistulae, were identified.
Conclusions:Following gastropexy for percutaneous transgastric feeding tube placement, t-fastener migration into the abdominal wall frequently occurred soon after the tube insertion. Therefore, recent t-fastener deployment does not guarantee an intact gastropexy.
|
|
|
KEYWORD
|
|
|
T-fasteners, Gastropexy, Gastrostomy tube, Gastrojejunostomy tube
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|
|