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超声引导下经皮经腹胃造瘘管置入术胃穿刺入路的安全性和可行性

Safety and Feasibility of Ultrasound-Guided Gastric Access for Percutaneous Transabdominal Gastrostomy Tube Placement.

作者信息

Shukla Pratik A, Kolber Marcin K, Tapnio Richard, Zybulewski Adam, Kumar Abhishek, Patel Rajesh I

机构信息

Division of Vascular and Interventional Radiology, Department of Radiology, Mount Sinai Beth Israel, Mount Sinai Hospital System, Icahn School of Medicine, First Avenue at Sixteenth Street, New York, NY 10010, USA.

出版信息

Gastroenterology Res. 2019 Jun;12(3):115-119. doi: 10.14740/gr1136. Epub 2019 Jun 7.

DOI:10.14740/gr1136
PMID:31236151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6575128/
Abstract

BACKGROUND

The aim of the study was to evaluate the safety and feasibility of ultrasound guidance gastric access for percutaneous retrograde transabdominal gastrostomy (G)-tube placement.

METHODS

Twenty-eight patients undergoing 31 percutaneous retrograde transabdominal G-tube placements utilizing ultrasound-guided gastric accesses were retrospectively identified.

RESULTS

All patients had successful placement of G tubes with ultrasound-guided gastric access. There were no cases of aspiration or peritonitis. Average fluoroscopy time was 2.7 ± 1.4 min and average radiation dose was 220 ± 202 µGym.

CONCLUSIONS

Ultrasound-guided access for gastrostomy placement is safe and feasible and can be performed with minimal fluoroscopy times resulting in low patient and operator radiation dose.

摘要

背景

本研究的目的是评估超声引导下经皮逆行经腹胃造口术（G管置入）中胃穿刺的安全性和可行性。

方法

回顾性纳入28例患者，共进行了31次经皮逆行经腹G管置入，均采用超声引导下胃穿刺。

结果

所有患者在超声引导下胃穿刺均成功置入G管。无吸入或腹膜炎病例。平均透视时间为2.7±1.4分钟，平均辐射剂量为220±202µGym。

结论

超声引导下胃造口术置管安全可行，透视时间短，患者和操作者所受辐射剂量低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/6575128/18f637239a53/gr-12-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/6575128/9ab2e1482df7/gr-12-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/6575128/18f637239a53/gr-12-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/6575128/9ab2e1482df7/gr-12-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7532/6575128/18f637239a53/gr-12-115-g002.jpg

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本文引用的文献

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2
Radiologic Retrograde Gastrostomy Tube Insertions Without the Use of Barium: Implications for Radiation Dose in Children.不使用钡剂的放射学逆行胃造口管插入术：对儿童辐射剂量的影响
AJR Am J Roentgenol. 2015 Nov;205(5):1135-8. doi: 10.2214/AJR.14.13859.
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CT-Guided Percutaneous Radiologic Gastrostomy for Patients with Head and Neck Cancer: A Retrospective Evaluation in 177 Patients.
CT引导下经皮放射学胃造口术治疗头颈癌患者：177例患者的回顾性评估
Cardiovasc Intervent Radiol. 2016 Feb;39(2):271-8. doi: 10.1007/s00270-015-1170-8. Epub 2015 Jul 7.
4
Percutaneous radiologic gastrostomy in patients with malignant pharyngoesophageal obstruction.经皮放射学胃造口术在恶性咽食管梗阻患者中的应用。
Jpn J Clin Oncol. 2013 Jul;43(7):713-8. doi: 10.1093/jjco/hyt069. Epub 2013 May 21.
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Radiologic percutaneous gastrostomy: review of potential complications and approach to managing the unexpected outcome.放射学经皮胃造口术：潜在并发症的综述及意外结果的处理方法。
AJR Am J Roentgenol. 2013 Apr;200(4):921-31. doi: 10.2214/AJR.11.7804.
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Radiation exposure in vascular angiographic procedures.血管造影术的辐射暴露。
J Vasc Interv Radiol. 2012 Nov;23(11):1487-95. doi: 10.1016/j.jvir.2012.05.048. Epub 2012 Jul 26.
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