Deutsch L S, Kannegieter L, Vanson D T, Miller D P, Brandon J C
Department of Radiological Sciences, University of California, Irvine, Medical Center, Orange 92668.
Radiology. 1992 Jul;184(1):181-3. doi: 10.1148/radiology.184.1.1609078.
By using 16-F self-retaining feeding catheters, fluoroscopically guided percutaneous gastrostomy was performed in 68 consecutive adult patients without the use of gastric fixation devices. Short-term (2-week) follow-up of all patients was available, with 30-day follow-up obtained in 94% of the study group (n = 64). Thirty-day mortality was 12%, with no procedure-related deaths. Major and minor morbidity rates were 4.7% and 7.8%, respectively. The mean procedure time was 7 minutes. These data compared favorably with those of series employing smaller catheters placed with and without the use of gastropexy, as well as surgical gastrostomy and gastropexy procedures. Percutaneous placement of large-caliber (16-F) gastrostomy catheters is safe, effective, and rapid in the adult population and can be accomplished routinely without the use of prior gastropexy.
通过使用16F自固定喂养导管，对68例成年患者进行了透视引导下经皮胃造口术，未使用胃固定装置。所有患者均获得了短期（2周）随访，94%的研究组患者（n = 64）获得了30天随访。30天死亡率为12%，无手术相关死亡。主要和次要发病率分别为4.7%和7.8%。平均手术时间为7分钟。这些数据与使用较小导管并有无胃固定术的系列研究以及外科胃造口术和胃固定术的结果相比更具优势。在成年人群中，经皮放置大口径（16F）胃造口导管安全、有效且快速，无需事先进行胃固定术即可常规完成。
