Radiologisch assistierte perkutane Gastro-/Enterostomie - Retrospektive Analyse von 90 Eingriffen

Abstract

Radiologically assisted gastrostomies or enterostomies are a reliable and effective form of treatment even amongst difficult patients. The results and complications are comparable to those from endoscopic procedures.

CT-Guided Percutaneous Radiologic Gastrostomy for Patients with Head and Neck Cancer: A Retrospective Evaluation in 177 Patients

“…Of these 91 patients, fluoroscopic-guided access was attempted by direct puncture of an effervescent-induced large gastric air bubble in 24 patients. Overall, the technical success rate in the current study was similar to or better than the rates reported in the literature for PRG, which varied between 85 and 100 % [6,13,14,[24][25][26]. The mean procedure time of the present study was shorter than the previously reported study by Wollman (33 min and 39 min for PRG and PEG, respectively) [6].…”

“…In our study, 4.0 % of patients developed major AEs, including bleeding (n = 4), gastric tears (n = 1), intraabdominal abscess (n = 1), and colon injury (n = 1). Major AEs were reported for PRG between 5.9 and 20 % [6,13,14,[24][25][26], particularly peritonitis necessitating surgical treatment, gastric wall dissection/perforation, hemorrhage requiring transfusion, and gastrostomy metastasis. Although statistically not significant, our study shows such prevalence was smaller than other techniques.…”

Comparison of fluoroscopy-guided Pull-type Percutaneous Radiological Gastrostomy (Pull-type-PRG) with conventional Percutaneous Radiological Gastrostomy (Push-type-PRG): clinical results in 253 patients

“…Since first described in 1981 [6], the percutaneous radiological gastrostomy has been proved to be safe and effective [1,18,19]. Success rates between 85% and 100% [14,18,20] have been reported for fluoroscopy guided techniques which are particularly feasible in challenging anatomic situations or after failed endoscopic gastrostomy attempts [20][21][22]. Our data confirm these data with high primary success rates of 98.3% and 92% for Pull-type-PRG and Push-type-PRG, respectively.…”

Analysis of Patients’ X-ray Exposure in 146 Percutaneous Radiologic Gastrostomies

“…Mildenberger et al [12], in a mixed cohort of 90 percutaneous radiographic gastro-and enterostomies, indicate a mean fluoroscopy time of 12.6 minutes; however, almost 1/3 of these were distinctly complex duodenal or jejunostomies. In a comparison between PRG with and without gastropexy, Thornton et al [11] reported a fluoroscopy time of 4.73 minutes with gastropexy and 4.59 minutes without the procedure.…”