Department of Radiology, University of Missouri Columbia School of Medicine, Columbia, Missouri, USA.
Department of Radiology, Division of Interventional Radiology, University of Missouri- Columbia School of Medicine, Columbia, Missouri, USA.
Diagn Interv Radiol. 2020 Sep;26(5):464-469. doi: 10.5152/dir.2020.19471.
The role of computed tomography (CT)-guided gastrostomy tube placement is still evolving. It is a valuable alternative to guide gastrostomy tube placement in a few selected patients, who are not candidates for the established endoscopy- or fluoroscopy-guided gastrostomy tube placement. Our objective was to describe our institutional experience placing gastrostomy tubes using CT guidance and to conduct a review of literature for similar studies to provide the best current evidence on success rates and complications.
We identified gastrostomy tubes placed under CT guidance at our institution using a comprehensive case log. We also identified studies in the literature, through a systematic search of PubMed. In both the local and literature analyses, we recorded success and complication rates.
A total of 31 patients underwent 33 attempted CT-guided gastrostomy tube placements at our institution, with 32 successful procedures yielding a success rate of 97%. The overall rate of successful gastrostomy tube placement using CT-guidance was 94.9% (634/668), as reported in the existing literature.
CT-guidance is an effective method for gastrostomy tube placement and may play an important role in patients for whom endoscopic or fluoroscopic gastrostomy tube placement is not feasible.
计算机断层扫描（CT）引导下胃造瘘术的作用仍在不断发展。对于少数不适合接受已确立的内镜或透视引导下胃造瘘术的患者，CT 引导下胃造瘘术是一种有价值的替代方法。我们的目的是描述我们机构使用 CT 引导进行胃造瘘术的经验，并对文献进行综述，以提供关于成功率和并发症的最佳现有证据。
我们通过全面的病例记录确定了我们机构使用 CT 引导放置的胃造瘘管。我们还通过系统搜索 PubMed 确定了文献中的研究。在本地和文献分析中，我们记录了成功率和并发症发生率。
共有 31 名患者在我们机构接受了 33 次尝试的 CT 引导下胃造瘘术，其中 32 次手术成功，成功率为 97%。在现有的文献中，使用 CT 引导的胃造瘘管成功放置的总体成功率为 94.9%（634/668）。
CT 引导是胃造瘘术的一种有效方法，对于那些无法进行内镜或透视引导下胃造瘘术的患者可能具有重要作用。
