Percutaneous radiologic gastrostomy in patients with failed percutaneous endoscopic gastrostomy

Gastrointestinal Intervention Pub Date : 2017-10-30 DOI:10.18528/GII160031

Tang-fei Lee, Young-Jong Cho, A. Shin, H. Ko, Jihong Park, S. Kim, Jin Hyoung Kim, Ho-Young Song

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引用次数: 1

Abstract

Background: To determine the technical feasibility and success rate of percutaneous radiologic gastrostomy (PRG) after failure of percutaneous endoscopic gastrostomy (PEG). Methods: Consecutive patients referred for PRG after failure of PEG between May 2011 and June 2016 were included in this study. The reasons for the failure of PEG, as well as the technical success and complications of PRG were noted. Results: Fifteen patients (14 men, 1 woman; age, 27–93 years) were included. The most common reasons for PEG failure were esophageal stricture due to malignancies (n = 8), unfavorable abdominal wall conditions (n = 3), unstable patient condition during endoscopy (n = 2), and other miscellaneous conditions (n = 2). PRG placement was technically successful in all 15 cases. In one case, early slip-out of the gastrostomy tube occurred, which required removal and repositioning. No mortality was noted. Conclusion: PRG is technically feasible in patients with failed PEG insertion, and has advantages over PEG and a high overall success rate. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.

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经皮内镜胃造口术失败患者的经皮放射胃造口术

背景:探讨经皮内镜胃造口术(PEG)失败后经皮放射胃造口术(PRG)的技术可行性和成功率。方法:本研究纳入2011年5月至2016年6月期间PEG失败后连续转行PRG的患者。并指出了PEG失败的原因，以及PRG的技术成功和并发症。结果:15例患者(男14例，女1例;年龄27-93岁)。PEG失败最常见的原因是恶性肿瘤引起的食管狭窄(n = 8)，腹壁状况不佳(n = 3)，内镜检查时患者状况不稳定(n = 2)，以及其他各种情况(n = 2)。所有15例患者在技术上都成功放置了PRG。在一个病例中，胃造口管出现早期滑出，需要移除并重新定位。没有发现死亡率。结论:PRG在PEG置入失败患者中技术可行，且优于PEG，整体成功率高。版权所有©2017，胃肠干预学会。版权所有。

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.