Article: article d'un périodique ou d'un magazine.
Percutaneous gastrostomy for enteral nutrition: long-term follow-up of 176 procedures.
Canadian Association of Radiologists Journal
Date de publication
Publication types: Journal Article Publication Status: ppublish
OBJECTIVE: To evaluate the efficacy and safety of percutaneous gastrostomy (PG), using small catheters without gastropexy, to deliver enteral nutrition. METHODS: We reviewed the records of 176 consecutive patients in whom PG was attempted for enteral nutrition. Of these cases, 172 catheters were inserted by the Seldinger technique under fluoroscopic guidance alone, 2 were inserted under computed tomographic guidance, and 2 procedures failed. In primary procedures, 8.5- or 10.2-French catheters were used. RESULTS: The technical success rate was 98.9%. Of the 176 procedures, 2 failed because of the high position of the stomach. Seven-day follow-up was obtained in all patients; 30-day follow-up in 145 patients (83%), and long-term follow-up (30 to 1512 days) in 123 patients (70%). The 30-day mortality rate was 13.2%. One death (0.5%) was directly related to the procedure. Major complications occurred in 4 patients (2.2%), and minor complications in 12 patients (6.9%). No patient required surgery for complications attributable to the gastrostomy procedure. CONCLUSION: PG without gastropexy using small catheters is a simple, safe and effective technique for delivering enteral nutrition.
Adult, Aged, Aged, 80 and over, Enteral Nutrition/adverse effects, Enteral Nutrition/instrumentation, Female, Follow-Up Studies, Gastrostomy/adverse effects, Gastrostomy/instrumentation, Humans, Male, Middle Aged, Radiography, Retrospective Studies
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