Single-Step Method for Pull-Type Gastrostomy Tube Placement.


Journal

Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Titre abrégé: J Vasc Interv Radiol
Pays: United States
ID NLM: 9203369

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 30 03 2019
revised: 20 05 2019
accepted: 21 05 2019
pubmed: 23 9 2019
medline: 15 9 2020
entrez: 23 9 2019
Statut: ppublish

Résumé

Single-step pull-type gastrostomy tube (PGT) placement is a method involving gastric puncture with a curved 18-gauge trocar needle allowing retrograde cannulation of the gastroesophageal junction without use of a sheath or snare. This retrospective review of 102 patients who underwent single-step PGT placement demonstrated 91% success in advancing the wire up the esophagus using only the curved trocar. Successful placement of a gastrostomy tube was 100%. Two major and 2 minor complications occurred within 30 days, all unrelated to the single-step technique. Mean fluoroscopy time for all patients was 5.1 min (range, 1.5-19.2 min). Single-step PGT placement is an effective, safe, fast, and equipment-sparing method for gastrostomy placement.

Identifiants

pubmed: 31542269
pii: S1051-0443(19)30507-X
doi: 10.1016/j.jvir.2019.05.022
pii:
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

473-477

Informations de copyright

Copyright © 2019 SIR. Published by Elsevier Inc. All rights reserved.

Auteurs

Shawn Ma (S)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

Nicole A Lamparello (NA)

Interventional Radiology, Weill Cornell Imaging at New York-Presbyterian, New York, New York.

Helen Paik (H)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

Gregory Nadolski (G)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

William Stavropoulos (W)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

David Tischfield (D)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

Terence Gade (T)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104.

Richard D Shlansky-Goldberg (RD)

Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104. Electronic address: shlanskr@uphs.upenn.edu.

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Classifications MeSH