Tyler S Thompson, Coulter N Small, Hugh Davis, Michael Lazarowicz, Jeffrey Vogel, Robert E Heithaus
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Of the 71 GJ tube placements included for analysis, 12 patients underwent placement with a post-pyloric DHT in position, and 59 patients underwent placement without a post-pyloric DHT in position. The mean fluoroscopy time and estimated radiation dose were significantly reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those without (7.08 min vs. 11.02 min, <i>P</i> = 0.004; 123.12 mGy vs. 255.19 mGy, <i>P</i> = 0.015, respectively). The mean total procedure time was also reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those who had no post-pyloric DHT, but this finding lacked statistical significance (18.55 min vs. 23.15 min; <i>P</i> = 0.09). Post-pyloric DHT retention can be utilized during GJ tube placement to reduce radiation exposure to both the patient and interventionalist.</p>","PeriodicalId":11341,"journal":{"name":"Diagnostic and interventional radiology","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10679547/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose.\",\"authors\":\"Tyler S Thompson, Coulter N Small, Hugh Davis, Michael Lazarowicz, Jeffrey Vogel, Robert E Heithaus\",\"doi\":\"10.4274/dir.2022.221473\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The purpose of this study was to determine whether retention of a post-pyloric Dobhoff tube (DHT) in position to serve as a visual guide through the pylorus during gastrojejunostomy (GJ) tube placement results in a reduction in fluoroscopy time, procedure time, and estimated radiation dose. 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引用次数: 0
摘要
本研究的目的是确定在胃空肠吻合术(GJ)中放置幽门后多布霍夫管(DHT)作为幽门视觉引导是否会减少透视时间、手术时间和估计辐射剂量。一项回顾性研究评估了2017年1月1日至2021年4月1日期间接受GJ管置入或胃到GJ转换的患者。收集了人口统计和程序数据,并通过非配对学生t检验使用描述性统计和假设检验对结果进行评估。在纳入分析的71例GJ管放置中,12例患者放置幽门后DHT就位,59例患者放置幽门后DHT就位。幽门后DHT放置GJ管的患者与未放置GJ管的患者相比,平均透视时间和估计辐射剂量显著减少(7.08 min vs 11.02 min, P = 0.004;123.12 mGy vs. 255.19 mGy, P = 0.015)。与没有幽门后DHT的患者相比,接受幽门后DHT放置GJ管的患者的平均总手术时间也缩短了,但这一发现缺乏统计学意义(18.55分钟vs 23.15分钟;P = 0.09)。幽门后DHT留置可以在GJ管置入期间使用,以减少对患者和介入医生的辐射暴露。
Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose.
The purpose of this study was to determine whether retention of a post-pyloric Dobhoff tube (DHT) in position to serve as a visual guide through the pylorus during gastrojejunostomy (GJ) tube placement results in a reduction in fluoroscopy time, procedure time, and estimated radiation dose. A retrospective study evaluated patients who underwent GJ tube placement or gastric to GJ conversion from January 1, 2017, to April 1, 2021. Demographic and procedural data were collected, and results were evaluated using descriptive statistics and hypothesis testing through an unpaired Student's t-test. Of the 71 GJ tube placements included for analysis, 12 patients underwent placement with a post-pyloric DHT in position, and 59 patients underwent placement without a post-pyloric DHT in position. The mean fluoroscopy time and estimated radiation dose were significantly reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those without (7.08 min vs. 11.02 min, P = 0.004; 123.12 mGy vs. 255.19 mGy, P = 0.015, respectively). The mean total procedure time was also reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those who had no post-pyloric DHT, but this finding lacked statistical significance (18.55 min vs. 23.15 min; P = 0.09). Post-pyloric DHT retention can be utilized during GJ tube placement to reduce radiation exposure to both the patient and interventionalist.
期刊介绍:
Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English.
The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.