Percutaneous radiologic gastrostomy in patients with failed percutaneous endoscopic gastrostomy

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 Sofue K, "Value of percutaneous radiologic gastrostomy for patients with advanced esophageal cancer" 23 : 3623-3631, 2016

2 Shin JH, "Updates on percutaneous radiologic gastrostomy/gastrojejunostomy and jejunostomy" 4 (4): S25-S31, 2010

3 Wu TS, "Ultrasound can accurately guide gastrostomy tube replacement and confirm proper tube placement at the bedside" 36 : 280-284, 2009

4 Kim JW, "The one-anchor technique of gastropexy for percutaneous radiologic gastrostomy : results of 248 consecutive procedures" 19 : 1048-1053, 2008

5 Covarrubias DA, "Radiologic percutaneous gastrostomy : review of potential complications and approach to managing the unexpected outcome" 200 : 921-931, 2013

6 Jeong EJ, "Preliminary results of percutaneous radiologic gastrostomy in a pediatric population: a modified chiba-needle puncture technique with single gastropexy" 205 : W133-W137, 2015

7 Shin JH, "Percutaneous radiologic gastrostomy : a modified Chiba-needle puncture technique with single gastropexy" 35 : 189-194, 2010

8 Thornton FJ, "Percutaneous gastrostomy in patients who fail or are unsuitable for endoscopic gastrostomy" 23 : 279-284, 2000

9 Lorentzen T, "Percutaneous gastrostomy guided by ultrasound and fluoroscopy" 36 : 159-162, 1995

10 Lyon SM, "Percutaneous gastrostomy and gastrojejunostomy" 21 : 181-189, 2004

11 Huang AT, "Percutaneous endoscopic gastrostomy site metastasis from head and neck squamous cell carcinoma : case series and literature review" 42 : 20-, 2013

12 Rahnemai-Azar AA, "Percutaneous endoscopic gastrostomy : indications, technique, complications and management" 20 : 7739-7751, 2014

13 박정훈, "Percutaneous Radiologic Gastrostomy Using the One-Anchor Technique in Patients after Partial Gastrectomy" 대한영상의학회 15 (15): 488-493, 2014

14 Siu-Cheung Chan, "Modifi ed Radiology-Guided Percutaneous Gastrostomy (MRPG) for Patients with Complete Obstruction of the Upper Digestive Tract and Who are without Endoscopic or Nasogastric Access" 대한영상의학회 12 (12): 216-219, 2011

15 Gauderer MW, "Gastrostomy without laparotomy : a percutaneous endoscopic technique" 15 : 872-875, 1980

16 Galaski A, "Gastrostomy tube placement by radiological versus endoscopic methods in an acute care setting : a retrospective review of frequency, indications, complications and outcomes" 23 : 109-114, 2009

17 de Bucourt M, "CT fluoroscopy-guided percutaneous gastrostomy with loop gastropexy and peel-away sheath trocar technique in 31 amyotrophic lateral sclerosis patients" 53 : 285-291, 2012

18 ASGE Standards of Practice Committee, "Adverse events of upper GI endoscopy" 76 : 707-718, 2012

19 Seres DS, "Advantages of enteral nutrition over parenteral nutrition" 6 : 157-167, 2013

20 Preshaw RM, "A percutaneous method for inserting a feeding gastrostomy tube" 152 : 658-660, 1981