Haq T U, Mosharraf S M F, Ahmad B, Munir K, Yaqoob J, Usman U
Department of Radiology, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2003 Feb;53(2):62-4.
To evaluate the safety, efficacy and complications of percutaneous gastrostomy catheter placementunder flouro guidance for long-term enteral feeding.
Between April 1998 to May 2002, 23 patients who had percutaneous gastrostomy catheter placement were retrospectively reviewed. Clinical indications for catheter placement included patients with neurologic disease, head and neck malignancy, and pulmonary disease patients. Placement of 12 - 14 Fr gastrostomy catheter was then accomplished with the Seldinger technique. The technical success, procedural complications were recorded.
Twenty seven procedures, including revisions, were performed. The success rate for catheter placement was 100%. Revision was necessary in 7 (30%) instances in 7 patients. There was one (3.8%) major and 4 (14.8%) minor complications.
Fluoroscopically directed percutaneous placement of gastrostomy catheters is a safe and effective procedure.
评估在荧光透视引导下经皮胃造口置管用于长期肠内营养的安全性、有效性及并发症。
回顾性分析1998年4月至2002年5月间23例行经皮胃造口置管术的患者。置管的临床适应证包括神经系统疾病患者、头颈部恶性肿瘤患者及肺部疾病患者。采用Seldinger技术置入12-14Fr胃造口导管。记录技术成功率及操作并发症。
共进行了27例操作，包括修正置管。导管置入成功率为100%。7例患者中有7次（30%）需要修正置管。有1例（3.8%）严重并发症和4例（14.8%）轻微并发症。
荧光透视引导下经皮胃造口置管是一种安全有效的操作。
