Foster A, Given M, Thornton E, Geoghegan T, Keeling F, McGrath F, Lee M J
Department of Academic Radiology, Beaumont Hospital, Dublin 9, Ireland.
Cardiovasc Intervent Radiol. 2009 Mar;32(2):317-9. doi: 10.1007/s00270-008-9473-7. Epub 2008 Dec 11.
T-fastener gastropexy is widely performed as part of gastrostomy insertion. The current literature recommends removal of T-fasteners at 2 weeks. We present a series of patients in whom T-fasteners were removed at 2 days with no major complications. We removed T-fasteners in 109 patients (male-to-female ratio 59:50, age range 18 to 88 years, mean age 62 years) at 2 days after gastrostomy insertion. Indications for gastrostomy included amytrophic lateral sclerosis, cerebrovascular accidents, head and neck carcinoma, multiple sclerosis, and others, including brain tumours and chronic inflammatory demyelinating polyneuropathy. No peritubal leaks or other major complications were seen in the study population. In the study group, 15 minor complications were recorded (14%), including localised infection and pain, both of which resolved on removal of T-fasteners. We conclude that it is feasible and safe to remove T-fasteners at 2 days.
T形钉胃固定术作为胃造口术插入的一部分被广泛应用。当前文献推荐在2周时取出T形钉。我们报告了一系列在术后2天取出T形钉且无重大并发症的患者。我们在109例患者（男女比例为59:50，年龄范围18至88岁，平均年龄62岁）胃造口术后2天取出了T形钉。胃造口术的适应证包括肌萎缩侧索硬化症、脑血管意外、头颈部癌、多发性硬化症以及其他疾病，包括脑肿瘤和慢性炎症性脱髓鞘性多发性神经病。在研究人群中未观察到管周渗漏或其他重大并发症。在研究组中，记录到15例轻微并发症（14%），包括局部感染和疼痛，两者在取出T形钉后均得到缓解。我们得出结论，术后2天取出T形钉是可行且安全的。
