Dipartimento di Radiologia e Radiologia Interventistica, IRCCS Azienda Ospedaliera ed Universitaria San Martino, IST - Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy.
Radiol Med. 2013 Apr;118(3):356-65. doi: 10.1007/s11547-012-0885-7. Epub 2012 Oct 22.
We evaluated technical success, safety and effectiveness of percutaneous radiological gastrostomy (PRG) with a modified technique: single puncture and double anchor.
From January 2008 to June 2011, 163 patients underwent PRG with a single-puncture double-anchor technique. The stomach was punctured with a 17-gauge Chiba needle, and gastropexy was performed by placing two anchors in the gastric lumen. Finally, a 12-F Wills-Oglesby percutaneous gastrostomy catheter was inserted. Technical success and complications at 30 days were evaluated on the basis of imaging and patients' medical records.
PRG was successfully completed in all 163 patients. Only a single puncture was required in all patients. The average PRG procedure time was 9 min. Three patients had major complications: haemorrhage (n=2) and pneumoperitoneum (n=1). Ten patients had minor complications: tube malfunction/breakage (n=9), and leakage through the insertion site (n=1). Two patients died 30 days after the procedure.
Single-puncture double-anchor PRG is a fast, safe and effective technique.
我们评估了改良技术（单穿刺双锚定）经皮胃造口术（PRG）的技术成功率、安全性和有效性。
自 2008 年 1 月至 2011 年 6 月，163 例患者接受了单穿刺双锚定技术的 PRG。使用 17 号 Chiba 针穿刺胃，通过在胃腔中放置两个锚定器进行胃固定术。最后，插入 12-F 威尔斯-奥格尔斯比经皮胃造口管。根据影像学和患者病历评估 30 天时的技术成功率和并发症。
所有 163 例患者均成功完成 PRG。所有患者均只需单次穿刺。PRG 平均手术时间为 9 分钟。3 例患者出现严重并发症：出血（n=2）和气腹（n=1）。10 例患者出现轻微并发症：管故障/断裂（n=9）和插入部位渗漏（n=1）。2 例患者在手术后 30 天死亡。
单穿刺双锚定 PRG 是一种快速、安全、有效的技术。
