Document Detail


Radiologically guided placement of pull-type gastrostomy tubes.
MedLine Citation:
PMID:  9393519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate percutaneous placement of pull-type gastrostomy tubes that has traditionally necessitated endoscopic guidance. MATERIALS AND METHODS: From September 1995 through March 1997, 63 pull-type gastrostomy tubes were placed in 64 patients. Retrograde catheterization of the esophagus was performed through the stomach. Then the gastrostomy tube was pulled through from the mouth into the stomach. RESULTS: Gastrostomy tube placement was successful in 63 (98%) of 64 patients in 65 attempts. One procedure was stopped when the patient reported chest pain after gastric insufflation, and a second placement attempt was initially unsuccessful. Major complications occurred in three (5%) patients: exit site infection necessitating tube removal (n = 2) and prolonged bleeding necessitating transfusion (n = 1). Minor complications occurred in six (9%) patients: failure of placement (n = 2), exit site infection (n = 1), leakage around the tube (n = 1), tube migration (n = 1), and inadvertent tube removal (n = 1). There were no cases of peritonitis, tract disruption, or gastrostomy-related death. CONCLUSION: Percutaneous placement of a pull-type gastrostomy tube was performed with a minimum risk of tract disruption and peritonitis. The tube was safely and effectively placed by radiologists.
Authors:
G X Szymski; A N Albazzaz; B Funaki; J D Rosenblum; C A Hackworth; B W Zernich; J A Leef
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  205     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1997-12-30     Completed Date:  1997-12-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  669-73     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, University of Chicago, IL 60637, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Enteral Nutrition / instrumentation*
Female
Fluoroscopy
Follow-Up Studies
Gastrostomy / instrumentation*
Humans
Intubation, Gastrointestinal / adverse effects,  instrumentation,  methods*
Male
Radiography, Interventional
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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