Department of Radiology, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea.
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam Gu, Seoul, 06351, Korea.
Eur Radiol. 2021 Sep;31(9):6531-6538. doi: 10.1007/s00330-021-07762-8. Epub 2021 Mar 3.
This study aimed to assess the technical success and overall complication rate of percutaneous radiologic gastrostomy (PRG) with single gastropexy using a separate tract from that used for tube placement.
From January 2014 to December 2018, 636 patients (469 men, 167 women; mean age 66.8 years; age range, 22-98 years) underwent PRG using single gastropexy at a tertiary center. Preprocedural computed tomography (CT) was recommended if there were no data on the location of the stomach on previous CT. After a single anchor was applied, the PRG tube was inserted through a separate tract from that used for tube placement. The technical success rate and major and minor complications were retrospectively reviewed. The number of patients and percentages were used as descriptive statistics for evaluating the complication rate.
The technical success rate of PRG with single gastropexy was 99.2% (631/636). There were 32 complications among the 631 procedures. There were 19 (3.0%) major complications, including peritonitis (n = 7), migration (n = 5), infection (n=4), malposition (n = 2), and bleeding (n = 1). There were 13 (2.1%) minor complications, including local infection (n = 11), malfunction (n = 1), and pneumoperitoneum (n = 1). The overall complication rate within 30 days of PRG placement was 4.1% (26/631).
PRG with single gastropexy using a separate tract from that used for tube placement is technically feasible with a low complication rate.
• Percutaneous radiologic gastrostomy with single gastropexy using a separate tract from that used for tube placement is technically feasible. • Complications including peritonitis and bleeding were comparatively low with the conventional technique.
本研究旨在评估经皮放射胃造口术（PRG）中使用单独入路进行单点胃固定术的技术成功率和总体并发症发生率，该入路与管放置入路不同。
2014 年 1 月至 2018 年 12 月，在一家三级中心，636 例患者（469 例男性，167 例女性；平均年龄 66.8 岁；年龄范围 22-98 岁）接受了单点胃固定术的 PRG。如果之前的 CT 上没有胃的位置数据，则建议进行术前计算机断层扫描（CT）。应用单点锚定后，将 PRG 管通过与管放置入路不同的单独入路插入。回顾性分析技术成功率和主要及次要并发症。使用患者数量和百分比作为描述性统计数据来评估并发症发生率。
单点胃固定术 PRG 的技术成功率为 99.2%（631/636）。在 631 例手术中，有 32 例并发症。19 例（3.0%）为主要并发症，包括腹膜炎（n=7）、迁移（n=5）、感染（n=4）、错位（n=2）和出血（n=1）。13 例（2.1%）为次要并发症，包括局部感染（n=11）、故障（n=1）和气腹（n=1）。PRG 放置后 30 天内的总并发症发生率为 4.1%（26/631）。
使用单独入路进行单点胃固定术的 PRG 技术可行，并发症发生率低。
• 经皮放射胃造口术单点胃固定术使用单独入路与管放置入路不同，技术上是可行的。• 与传统技术相比，包括腹膜炎和出血在内的并发症发生率较低。
