Cited 8 times in
Fluoroscopy-guided percutaneous gastrostomy with pull technique for the amyotrophic lateral sclerosis patients with very low vital capacity.
DC Field | Value | Language |
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dc.contributor.author | 강성웅 | - |
dc.contributor.author | 원정윤 | - |
dc.contributor.author | 원종윤 | - |
dc.date.accessioned | 2015-04-23T16:49:29Z | - |
dc.date.available | 2015-04-23T16:49:29Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0148-6071 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/101297 | - |
dc.description.abstract | BACKGROUND: The purpose of this study was to evaluate the safety and usefulness of fluoroscopy-guided percutaneous gastrostomy (FPG) in patients with amyotrophic lateral sclerosis (ALS) using a large-profile gastrostomy tube accompanied by the pull technique. This procedure was done without an accompanying endoscopy or gastropexy. METHODS: Thirty-six patients with ALS underwent FPG using a large-profile gastrostomy tube accompanied by the pull technique. A 24 Fr pull-type tube was inserted under fluoroscopic guidance into the mouth and pulled to the upper-abdominal puncture site using a snare. The technical success rate, occurrence of complications, and clinical outcomes were evaluated. RESULTS: The technical success rate was 100%. There were no procedure-related mortalities or respiratory complications. The mean forced vital capacity of the patients was 732 mL (17.7% of the normal predicted value). During the procedure, 16 patients required ventilator support by nasal mask or tracheostomy. The tube indwelling period ranged from 1 to 24 months (average, 9.3). During this period, all the tubes were maintained in a proper position. In 18 patients, the tube was exchanged after 6 months without any problems. CONCLUSIONS: The FPG procedure using a 24 Fr tube and the pull technique shows a high rate of technical success. This procedure has a low risk for respiratory complications because endoscopic guidance is not needed. In addition, gastropexy is not required, which allows a large-profile catheter to be inserted during a single procedure. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 421~425 | - |
dc.relation.isPartOf | JOURNAL OF PARENTERAL AND ENTERAL NUTRITION | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Amyotrophic Lateral Sclerosis/physiopathology | - |
dc.subject.MESH | Amyotrophic Lateral Sclerosis/surgery* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fluoroscopy/methods | - |
dc.subject.MESH | Gastrostomy/methods* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Stomach/surgery* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Vital Capacity* | - |
dc.title | Fluoroscopy-guided percutaneous gastrostomy with pull technique for the amyotrophic lateral sclerosis patients with very low vital capacity. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Jung Hyun Park | - |
dc.contributor.googleauthor | Seong-Woong Kang | - |
dc.contributor.googleauthor | Jong Yun Won | - |
dc.contributor.googleauthor | Chang Wook Uhm | - |
dc.identifier.doi | 10.1177/0148607110362528 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02443 | - |
dc.contributor.localId | A00041 | - |
dc.relation.journalcode | J01937 | - |
dc.identifier.pmid | 20631388 | - |
dc.identifier.url | http://pen.sagepub.com/content/34/4/421 | - |
dc.contributor.alternativeName | Kang, Seong Woong | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.contributor.affiliatedAuthor | Kang, Seong Woong | - |
dc.citation.volume | 34 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 421 | - |
dc.citation.endPage | 425 | - |
dc.identifier.bibliographicCitation | JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, Vol.34(4) : 421-425, 2010 | - |
dc.identifier.rimsid | 49419 | - |
dc.type.rims | ART | - |
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