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- Title
Temporary percutaneous radiologic gastrojejunostomy with single gastropexy.
- Authors
Jung-Hoon Park; Young Chul Cho; Ji Hoon Shin; Yasir Nouri; Jong Woo Kim; Jin-Hyoung Kim; Heung-Kyu Ko
- Abstract
Background: Although the effectiveness of percutaneous radiologic gastrojejunostomy (PRGJ) has been reported, a detailed description of the indications and clinical effectiveness of temporary PRGJ is still limited. Purpose: To evaluate the clinical effectiveness and technical feasibility of temporary PRGJ using the modified Chiba-needle technique with single gastropexy. Material and Methods: Temporary PRGJ using the modified Chiba-needle technique with single gastropexy was performed in 27 consecutive patients (19 men, 8 women; mean age = 61 years; age range = 32-77 years) for esophageal perforation (n = 18) or postoperative gastroparesis (n = 9). Outcomes analyzed included the technical and clinical success, procedure-related complications, and the tube indwelling period. Results: Technical and clinical success was achieved in all 27 patients. All the tubes were electively removed 19-364 days (mean indwelling period = 104 days) after confirmation of the possibility of oral intake. Asymptomatic pneumoperitoneum occurred in 2/27 (7.4%) patients as minor complications and was resolved spontaneously by the time of the one-week follow-up. There were no major complications. During the follow-up period, a total of 11 tube changes were performed in seven patients for an elective tube change within a six-month interval (n = 5) or because of tube occlusion (n = 6). Conclusion: Temporary PRGJ using the modified Chiba-needle technique with a single gastropexy was clinically effective and technically feasible in patients with esophageal perforation or gastroparesis. It can provide adequate enteral nutrition during its temporary placement.
- Subjects
GASTRIC bypass; ESOPHAGEAL perforation; CLINICAL indications; ENTERAL feeding; GASTROPARESIS; GASTROENTEROSTOMY; IMPLANTABLE catheters
- Publication
Acta Radiologica, 2021, Vol 62, Issue 3, p329
- ISSN
0284-1851
- Publication type
Article
- DOI
10.1177/0284185120929707