Safety and Short-Term Complication Rates Using Single-Puncture T-Fastener Gastropexy

Lazar Milovanovic; Sean A Kennedy; Bopha Chrea; Mehran Midia

doi:10.1016/j.jvir.2016.02.033

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Safety and Short-Term Complication Rates Using Single-Puncture T-Fastener Gastropexy

Journal article

Peer reviewed

Safety and Short-Term Complication Rates Using Single-Puncture T-Fastener Gastropexy

Lazar Milovanovic, Sean A Kennedy, Bopha Chrea and Mehran Midia

Journal of vascular and interventional radiology, Vol.27(6), pp.898-904

06/01/2016

DOI: 10.1016/j.jvir.2016.02.033

PMID: 27134109

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Abstract

To report a single operator's experience using a modified single-puncture gastrostomy technique deploying up to three nonabsorbable gastropexy anchors. A retrospective review of 69 consecutive patients undergoing gastrostomy, gastrojejunostomy, or jejunostomy tube insertion between March 2012 and January 2014 was performed. Technical success and 30-day local, major, and minor complication rates were assessed according to the Society of Interventional Radiology (SIR) Standards of Practice for Gastrointestinal Access. Procedure time was also recorded. Primary technical success of the procedure was 98.6% (68/69). In one patient, the procedure was aborted because the stomach could not be safely accessed. Major complications occurred in one of 69 (1.4%) patients, minor complications occurred in 10 of 69 (13%) patients, and local complications occurred in three of 69 (4.3%) patients. Local complications consisted of redness and mild tenderness at the enteric access site. Mean procedure time was 5 minutes (range, 3.1-36 min). Single-puncture, multianchor gastrostomy is a feasible technique for radiologically guided enteric access tube insertion with technical success and complication rates similar to conventional gastrostomy techniques. This technique could be considered when expeditious performance of a procedure is required.

Enteral Nutrition - adverse effects

Enteral Nutrition - instrumentation

Enteral Nutrition - methods

Feasibility Studies

Gastropexy - adverse effects

Gastropexy - instrumentation

Gastrostomy - adverse effects

Gastrostomy - instrumentation

Humans

Jejunostomy - adverse effects

Jejunostomy - instrumentation

Punctures

Radiography, Interventional

Retrospective Studies

Suture Techniques - adverse effects

Suture Techniques - instrumentation

Time Factors

Treatment Outcome

Details

Title: Subtitle: Safety and Short-Term Complication Rates Using Single-Puncture T-Fastener Gastropexy
Creators: Lazar Milovanovic - McMaster University
Sean A Kennedy - McMaster University
Bopha Chrea - University of Washington
Mehran Midia - McMaster University
Resource Type: Journal article
Publication Details: Journal of vascular and interventional radiology, Vol.27(6), pp.898-904
DOI: 10.1016/j.jvir.2016.02.033
PMID: 27134109
ISSN: 1051-0443
eISSN: 1535-7732
Language: English
Date published: 06/01/2016
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984460340302771

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