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Percutaneous radiologic gastrostomy: a modified Chiba-needle puncture technique with single gastropexy

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Abstract

Background

To evaluate the feasibility, safety, and effectiveness of percutaneous radiologic gastrostomy (PRG) with a modified Chiba-needle puncture technique with the use of a single gastropexy in the same puncture tract.

Methods

In 80 patients with dysphagia, the stomach was punctured with a 21-gauge Chiba-needle, which was exchanged for a 6-Fr Neff catheter. Eleven patients with a high-lying stomach and four patients with surgically altered gastric morphology were included. A Cope suture anchor was then deployed into stomach lumens through the Neff catheter to achieve gastropexy. Then, following serial dilation, a 14-Fr diameter locking loop catheter was inserted.

Results

All 80 patients successfully underwent PRG. Only a single puncture attempt was required for 78 patients (98%) and two attempts for two patients each. The average procedure time was 5 min 38 s. Three patients (3.8%) had major complications such as hemorrhage, deep stomal infection, and worsening pneumoperitoneum requiring tube removal. Procedure-related mortality and 30-day mortality was 0% and 5%, respectively.

Conclusions

PRG with the modified Chiba-needle puncture technique with use of single gastropexy in the same puncture tract was feasible, safe, and effective, especially in patients with high-lying or surgically altered stomachs.

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Authors and Affiliations

  1. Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

    Ji Hoon Shin, Ho-Young Song, Tae-Hyung Kim, Kyung-Rae Kim, K. Eugene Choi & Jin Hyoung Kim

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  1. Ji Hoon Shin
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  2. Ho-Young Song
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  3. Tae-Hyung Kim
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  4. Kyung-Rae Kim
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  5. K. Eugene Choi
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  6. Jin Hyoung Kim
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Correspondence to Ji Hoon Shin.

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Shin, J.H., Song, HY., Kim, TH. et al. Percutaneous radiologic gastrostomy: a modified Chiba-needle puncture technique with single gastropexy. Abdom Imaging 35, 189–194 (2010). https://doi.org/10.1007/s00261-008-9496-1

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  • DOI: https://doi.org/10.1007/s00261-008-9496-1

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