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Temporary percutaneous radiologic gastrojejunostomy with single gastropexy

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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.
Author(s)
고흥규김종우김진형박정훈신지훈조영철Yasir Nouri
Issued Date
2021
Type
Article
Keyword
AdultAgedEnteral NutritionEsophageal Perforation - diagnosisEsophageal Perforation - etiologyEsophageal Perforation - surgeryFeasibility StudiesFemaleGastric Bypass - methodsGastroparesis - diagnosisGastroparesis - etiologyGastroparesis - surgeryGastropexy - methodsHumansMaleMiddle AgedRetrospective StudiesTreatment Outcome
DOI
10.1177/0284185120929707
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7794
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2411539213&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Temporary%20percutaneous%20radiologic%20gastrojejunostomy%20with%20single%20gastropexy&offset=0&pcAvailability=true
Publisher
ACTA RADIOLOGICA
Location
스웨덴
Language
영어
ISSN
0284-1851
Citation Volume
62
Citation Number
3
Citation Start Page
329
Citation End Page
333
Appears in Collections:
Medicine > Medicine
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