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An Evaluation of the Fluoroscopy-guided Percutaneous Gastrostomy with the Pull Technique

 엄창욱  ;  원종윤  ;  유정식  ;  고흥규  ;  이광훈  ;  이도연  ;  이종태 
 Journal of the Korean Society of Radiology, Vol.58 : 375-379, 2008 
Journal Title
Journal of the Korean Society of Radiology(대한영상의학회지)
Issue Date
Gastrostomy ; Stomach ; Fluoroscopy ; Intubation ; Gastrointestinalg
PURPOSE: To evaluate the safety and usefulness of the fluoroscopy-guided percutaneous gastrostomy (FPG) using a large profile gastrostomy tube accompanied with the pull technique, and without the use of an endoscopy or a gastropexy. MATERIALS AND METHODS: From March 2005 to February 2007, 25 patients underwent an FPG using a large profile gastrostomy tube accompanied by the pull technique, in which a 24F pull-type tube was inserted into a patient's mouth and was pulled to the upper abdominal puncture site using a snare, under fluoroscopy. The 18 patients with difficulty swallowing due to muscular atrophic lateral sclerosis or transitional myodystrophy included 5 cases of quadriplegia, 1 case of Parkinson's disease, and 1 metastatic mediastinal tumor. The technical success rate, occurrence of complications, and clinical outcomes were examined. RESULTS: The technical success rate was found to be 100%. In addition, the retention periods for the indwelling tube ranged from 1 to 24 months (mean: 6.5 months), with all tubes retained at a normal position with normal function. No procedure-related mortality occurred. One patient (4%) did however develop a complication in the form of ascites and ascitic fluid leakage around the tube, which was of hepatic origin and was ultimately resolved after the drainage of ascites. CONCLUSION: As a result of this study the FPG, accompanied with the pull technique using a 24F tube, should be considered as a safe and effective method for examining patients. It was found to have a high success rate and a low complication rate.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Ko, Heung Kyu(고흥규)
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Lee, Kwang Hun(이광훈)
Lee, Do Yun(이도연)
Lee, Jong Tae(이종태)
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