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Percutaneous radiologic gastrostomy with single gastropexy: outcomes in 636 patients

  • Interventional
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Abstract

Objectives

This study aimed to assess the technical success and overall complication rate of percutaneous radiologic gastrostomy (PRG) with single gastropexy using a separate tract from that used for tube placement.

Methods

From January 2014 to December 2018, 636 patients (469 men, 167 women; mean age 66.8 years; age range, 22–98 years) underwent PRG using single gastropexy at a tertiary center. Preprocedural computed tomography (CT) was recommended if there were no data on the location of the stomach on previous CT. After a single anchor was applied, the PRG tube was inserted through a separate tract from that used for tube placement. The technical success rate and major and minor complications were retrospectively reviewed. The number of patients and percentages were used as descriptive statistics for evaluating the complication rate.

Results

The technical success rate of PRG with single gastropexy was 99.2% (631/636). There were 32 complications among the 631 procedures. There were 19 (3.0%) major complications, including peritonitis (n = 7), migration (n = 5), infection (n=4), malposition (n = 2), and bleeding (n = 1). There were 13 (2.1%) minor complications, including local infection (n = 11), malfunction (n = 1), and pneumoperitoneum (n = 1). The overall complication rate within 30 days of PRG placement was 4.1% (26/631).

Conclusions

PRG with single gastropexy using a separate tract from that used for tube placement is technically feasible with a low complication rate.

Key Points

• Percutaneous radiologic gastrostomy with single gastropexy using a separate tract from that used for tube placement is technically feasible.

• Complications including peritonitis and bleeding were comparatively low with the conventional technique.

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Abbreviations

CT:

Computed tomography

PRG:

Percutaneous radiologic gastrostomy

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Funding

The authors state that this work has not received any funding.

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Authors and Affiliations

  1. Department of Radiology, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea

    Ran Kim

  2. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam Gu, Seoul, 06351, Korea

    Hong Suk Park, Young Soo Do, Kwang Bo Park, Sung Wook Shin, Sung Ki Cho, Dong ho Hyun & Sung wook Choo

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  1. Ran Kim
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  2. Hong Suk Park
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  7. Dong ho Hyun
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  8. Sung wook Choo
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Correspondence to Hong Suk Park.

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The scientific guarantor of this publication is Hong Suk Park.

Conflict of interest

The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article.

Statistics and biometry

No complex statistical methods were necessary for this paper.

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Written informed consent was waived by the Institutional Review Board.

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Institutional Review Board approval was obtained.

Methodology

• retrospective

• observational

• performed at one institution

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Kim, R., Park, H.S., Do, Y.S. et al. Percutaneous radiologic gastrostomy with single gastropexy: outcomes in 636 patients. Eur Radiol 31, 6531–6538 (2021). https://doi.org/10.1007/s00330-021-07762-8

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  • DOI: https://doi.org/10.1007/s00330-021-07762-8

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