Document Detail

Radiologically guided placement of pull-type gastrostomy tubes.
MedLine Citation:
PMID:  9393519     Owner:  NLM     Status:  MEDLINE    
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.
G X Szymski; A N Albazzaz; B Funaki; J D Rosenblum; C A Hackworth; B W Zernich; J A Leef
Related Documents :
25130149 - Low-dose human chorionic gonadotropin adjunct to an antagonist protocol in assisted rep...
25123239 - The john charnley award: highly crosslinked polyethylene in total hip arthroplasty decr...
6427139 - The value of the prognostic nutritional index in the management of patients with advanc...
3148039 - Improvement of nutritional measures during preoperative parenteral nutrition in patient...
25085559 - Perioperative blood product use: a comparison between heartware and heartmate ii devices.
9559689 - Relationship between tympanic membrane perforations and retained ventilation tubes.
21109479 - The impact of comorbidity on treatment-related side effects in older patients with lary...
3115049 - Postoperative ventilatory and circulatory effects of heating after aortocoronary bypass...
23172429 - Lateral orbital rim; open or closed in mammals.
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    
Department of Radiology, University of Chicago, IL 60637, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Enteral Nutrition / instrumentation*
Follow-Up Studies
Gastrostomy / instrumentation*
Intubation, Gastrointestinal / adverse effects,  instrumentation,  methods*
Radiography, Interventional
Time Factors

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

Previous Document:  Percutaneous biliary drainage: clinical trial of analgesia with interpleural block.
Next Document:  Rapid thrombectomy with a hydrodynamic catheter: results from a prospective, multicenter trial.