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Article ; Online: 12Fr-Pigtail Versus 14Fr-Balloon Percutaneous Radiologic Gastrostomy (PRG), Retrospective Evaluation of Outcomes and Complications; A Maastricht University Medical Centre Study.

Dams, Glenn / Knapen, Robrecht R M M / Korenblik, Remon / van Dam, Ronald M / de Haan, Michiel W / van der Leij, Christiaan

Cardiovascular and interventional radiology

2023 Volume 46, Issue 9, Page(s) 1231–1237

Abstract: ... percutaneous radiologic gastrostomy (PRG) between January 2016 and June 2020 were enrolled ... balloon gastrostomy tubes have significantly lower (tube-related) complications rates and longer time to first ... a 14Fr-balloon gastrostomy tube.: Materials and methods: All consecutive patients who underwent ...

Abstract	Purpose: To retrospectively compare tube and placement related results of a 12Fr-pigtail and a 14Fr-balloon gastrostomy tube. Materials and methods: All consecutive patients who underwent percutaneous radiologic gastrostomy (PRG) between January 2016 and June 2020 were enrolled in this retrospective single-center analysis. Follow-up for all patients was 180 days. Mortality after 30 days, technical success, days to first complication within 180 days, reason of unexpected visit (tube, anchor or pain related), and tube specific complications (obstruction, pain, luxation, leakage) were taken as outcome measures. Data were obtained from both PACS software and electronic health records. Results: A total of 247 patients were enrolled (12Fr-pigtail: n = 139 patients and 14Fr-balloon: n = 108 patients). 30-day mortality was very low in both groups and never procedure related. Technical success was 99% in both groups. The average number of complications within 180 days after initial PRG placement was significantly higher in the 12Fr-pigtail group (12Fr-pigtail: 0.93 vs. 14Fr-balloon: 0.64, p = 0.028). Time to first complication within 180 days was significantly longer in the 14Fr-balloon group (12Fr-pigtail: 29 days vs. 14Fr-balloon: 53 days, p = 0.005). In the 14Fr-balloon group, the rate of tube-related complications (luxation and obstruction) was significantly lower compared to 12Fr-pigtail (29% vs. 45%, p = 0.011). Conclusion: 14Fr-balloon gastrostomy tubes have significantly lower (tube-related) complications rates and longer time to first complication compared to 12Fr-pigtail tubes. No procedure-related mortality was observed in either group. Technical success was very high in both groups. Level of Evidence Level 3, non-controlled retrospective cohort study.
MeSH term(s)	Humans ; Gastrostomy/adverse effects ; Retrospective Studies ; Academic Medical Centers ; Pain ; Radiology
Language	English
Publishing date	2023-08-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	603082-8
ISSN	1432-086X ; 0342-7196 ; 0174-1551
ISSN (online)	1432-086X
ISSN	0342-7196 ; 0174-1551
DOI	10.1007/s00270-023-03527-6
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Article: Radiologic evaluation of gastrostomy complications.

Vade, A / Jafri, S Z / Agha, F P / Vidyasagar, M S / Coran, A G

AJR. American journal of roentgenology

1983 Volume 141, Issue 2, Page(s) 325–330

Abstract: ... radiologic examination for evaluation of gastrostomy-related complications were identified. Thirty complications were ... Radiologic examination plays a crucial role in the evaluation of suspected gastrostomy ... and gastric pneumatosis are reported for the first time as complications of gastrostomy. ...

Abstract	Radiologic examination plays a crucial role in the evaluation of suspected gastrostomy complications. This has not been stressed adequately in the radiologic literature. In a retrospective review of 230 patients who underwent tube gastrostomy for varied clinical conditions, 70 patients who had radiologic examination for evaluation of gastrostomy-related complications were identified. Thirty complications were diagnosed radiologically. There were 11 gastric obstructions, 11 tube displacements, four gastric ulcers, two gastric perforations, one leaking gastrostomy, and one broken gastrostomy tube. Gastric torsion and gastric pneumatosis are reported for the first time as complications of gastrostomy.
MeSH term(s)	Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Gastrointestinal Hemorrhage/diagnostic imaging ; Gastrointestinal Hemorrhage/etiology ; Gastrostomy/adverse effects ; Humans ; Infant ; Infant, Newborn ; Intubation, Gastrointestinal/adverse effects ; Male ; Middle Aged ; Radiography ; Retrospective Studies ; Stomach/injuries ; Stomach Diseases/diagnostic imaging ; Stomach Diseases/etiology ; Stomach Ulcer/complications ; Torsion Abnormality
Language	English
Publishing date	1983-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/ajr.141.2.325
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Article ; Online: Percutaneous radiologic gastrostomy catheter placement without gastropexy: a co-axial balloon technique and evaluation of safety and efficacy.

Bendel, Emily C / McKusick, Michael A / Fleming, Chad J / Friese, Jeremy L / A Woodrum, David / Stockland, Andrew H / Misra, Sanjay

Abdominal radiology (New York)

2016 Volume 41, Issue 11, Page(s) 2227–2232

Abstract: ... angioplasty balloon technique for percutaneous radiologic gastrostomy catheter placement (PRG).: Methods: A total ... of 65 percutaneous radiologic gastrostomy tube placements were performed with the co-axial ... Without the use of T-fasteners for gastropexy, the gastrostomy tube was placed over a catheter-shaft ...

Abstract	Purpose: The purpose of this study is to evaluate the short-term safety and efficacy of a co-axial angioplasty balloon technique for percutaneous radiologic gastrostomy catheter placement (PRG). Methods: A total of 65 percutaneous radiologic gastrostomy tube placements were performed with the co-axial angioplasty balloon technique from 10/1999 to 1/2014. This included 19 females and 46 males between the ages of 20-83. Without the use of T-fasteners for gastropexy, the gastrostomy tube was placed over a catheter-shaft angioplasty balloon as a co-axial system. The angioplasty balloon was used to sequentially approximate the stomach wall to the abdominal wall, dilate the tract, and was then used as a dilator to aid gastrostomy tube advancement into the gastric lumen. Technical success, complications, and dislodgements were evaluated by means of retrospective review of patient medical records and imaging. Results: There was no procedural failure in any of the 65 placements. 30-day follow-up was available for 56 patients. 7 patients died within 30 days; none of the deaths were recorded as procedure-related. There was 1 major complication (1.5%) consisting of a colocutaneous fistula. There were 4 minor complications (6.2%). There was no occurrence of bleeding or skin infection while using this technique. Conclusions: PRG with the co-axial angioplasty-balloon technique is a safe and effective technique for gastrostomy placement.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Female ; Fluoroscopy ; Gastrostomy/methods ; Humans ; Intubation, Gastrointestinal/methods ; Male ; Middle Aged ; Patient Safety ; Radiography, Interventional ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2016-05-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2839786-1
ISSN	2366-0058 ; 2366-004X
ISSN (online)	2366-0058
ISSN	2366-004X
DOI	10.1007/s00261-016-0808-6
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Article ; Online: CT-Guided Percutaneous Radiologic Gastrostomy for Patients with Head and Neck Cancer: A Retrospective Evaluation in 177 Patients.

Tamura, Akio / Kato, Kenichi / Suzuki, Michiko / Sone, Miyuki / Tanaka, Ryoichi / Nakasato, Tatsuhiko / Ehara, Shigeru

Cardiovascular and interventional radiology

2016 Volume 39, Issue 2, Page(s) 271–278

Abstract: ... AEs) associated with computed tomography (CT)-guided percutaneous gastrostomy for patients with head ... who had undergone CT-guided percutaneous gastrostomy between February 2007 and December 2013. Information ... regarding the patients' backgrounds, CT-guided percutaneous gastrostomy techniques, technical success rate ...

Abstract	Purpose: The purpose of this study was to assess the technical success rate and adverse events (AEs) associated with computed tomography (CT)-guided percutaneous gastrostomy for patients with head and neck cancer (HNC). Materials and methods: This retrospective study included patients with HNC who had undergone CT-guided percutaneous gastrostomy between February 2007 and December 2013. Information regarding the patients' backgrounds, CT-guided percutaneous gastrostomy techniques, technical success rate, and AEs were obtained from the medical records. In all patients, the stomach was punctured under CT fluoroscopy with a Funada gastropexy device. Results: During the study period, 177 patients underwent CT-guided percutaneous gastrostomy. The most common tumor location was the oral cavity, followed by the pharynx and maxilla. The indication for CT-guided percutaneous gastrostomy were tumor obstruction in 78 patients, postoperative dysphagia in 55 patients, radiation edema in 43 patients, and cerebral infarction in 1 patient. The technical success rate was 97.7 %. The overall mean procedure time was 25.3 min. Major AEs occurred in seven patients (4.0 %), including bleeding (n = 4), colonic injury (n = 1), gastric tear (n = 1), and aspiration pneumonia (n = 1). Minor AEs occurred in 15 patients (8.5 %), which included peristomal leakage (n = 6), irritation (n = 4), inadvertent removal (n = 2), peristomal hemorrhage (n = 1), peristomal infection (n = 1), and wound granulation (n = 1). The mean follow-up period was 111 days (range 1-1106 days). Conclusion: Our study suggests that CT-guided gastrostomy may be suitable in patients with HNC.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Female ; Gastrostomy/methods ; Head and Neck Neoplasms/complications ; Humans ; Japan/epidemiology ; Male ; Middle Aged ; Operative Time ; Postoperative Complications/epidemiology ; Radiography, Interventional/methods ; Retrospective Studies ; Tomography, X-Ray Computed/methods ; Treatment Outcome
Keywords	covid19
Language	English
Publishing date	2016-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	603082-8
ISSN	1432-086X ; 0342-7196 ; 0174-1551
ISSN (online)	1432-086X
ISSN	0342-7196 ; 0174-1551
DOI	10.1007/s00270-015-1170-8
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Article: Complications after total gastrectomy and esophagojejunostomy: radiologic evaluation.

Levine, M S / Fisher, A R / Rubesin, S E / Laufer, I / Herlinger, H / Rosato, E F

AJR. American journal of roentgenology

1991 Volume 157, Issue 6, Page(s) 1189–1194

Abstract: ... the radiologic findings of early and late complications associated with this procedure. ... with a variety of early and late postoperative complications. Between 1980 and 1990, 26 patients at our hospital ... Total gastrectomy and esophagojejunostomy is an increasingly common operation that is associated ...

Abstract	Total gastrectomy and esophagojejunostomy is an increasingly common operation that is associated with a variety of early and late postoperative complications. Between 1980 and 1990, 26 patients at our hospital who underwent this surgery (19 Roux-en-Y esophagojejunostomies and seven loop esophagojejunostomies) had postoperative upper gastrointestinal studies with water-soluble contrast material or barium. The studies were performed during the early postoperative period (within 30 days after surgery) in seven patients, the late postoperative period (more than 30 days after surgery) in seven patients, or both in 12 patients. Five patients (19%) had anastomotic leaks, four involving the esophagojejunal anastomosis and one the blind-ending jejunal limb. Five patients (19%) had transient narrowing of the esophagojejunal anastomosis during the early postoperative period, probably due to acute postoperative edema and spasm. Six patients (23%) had narrowing of the esophagojejunal anastomosis during the late postoperative period due to anastomotic strictures (three patients) or recurrent tumor (three patients). Alkaline reflux esophagitis was found in three (43%) of seven patients who had a loop esophagojejunostomy. However, two (11%) of 19 patients with a Roux-en-Y esophagojejunostomy had relatively long strictures in the distal esophagus, apparently due to scarring from alkaline reflux esophagitis. Two patients (8%) had an afferent loop obstruction due to metastatic tumor and postsurgical scarring. Radiologists need to be familiar with the normal postoperative radiologic appearances and the radiologic findings of early and late complications associated with this procedure.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical/adverse effects ; Constriction, Pathologic/diagnostic imaging ; Constriction, Pathologic/etiology ; Contrast Media ; Esophageal Diseases/diagnostic imaging ; Esophageal Diseases/etiology ; Esophagitis/diagnostic imaging ; Esophagitis/etiology ; Esophagoscopy/adverse effects ; Female ; Gastrectomy/adverse effects ; Gastroesophageal Reflux/diagnostic imaging ; Gastroesophageal Reflux/etiology ; Humans ; Jejunal Diseases/diagnostic imaging ; Jejunal Diseases/etiology ; Jejunostomy/adverse effects ; Male ; Middle Aged ; Radiography
Chemical Substances	Contrast Media
Language	English
Publishing date	1991-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/ajr.157.6.1950863
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Article: Adjustable laparoscopic gastric band for the treatment of morbid obesity: radiologic evaluation.

Szucs, R A / Turner, M A / Kellum, J M / DeMaria, E J / Sugerman, H J

AJR. American journal of roentgenology

1998 Volume 170, Issue 4, Page(s) 993–996

Abstract: ... for contrast evaluation of the device, complications associated with its use, and the technique for stoma ... patients had no complications shown on the postoperative upper gastrointestinal series. Stoma size was ... evaluation of gastric bands was anteroposterior or slightly right posterior oblique. Twenty-one of 23 ...

Abstract	Objective: This article describes the radiographic appearance of a recently developed laparoscopically placed adjustable gastric band for the treatment of morbid obesity. The optimal technique for contrast evaluation of the device, complications associated with its use, and the technique for stoma adjustments are also discussed. Subjects and methods: Between May and December 1996, 23 patients at our institution underwent laparoscopic placement of adjustable silicone gastric bands for treatment of morbid obesity. All patients underwent a barium upper gastrointestinal series before surgery, 1 day after band placement, at variable intervals when each patient returned for band adjustment, and at 1 year. Results: Unlike the case in other gastric weight loss procedures, the optimal patient position for contrast evaluation of gastric bands was anteroposterior or slightly right posterior oblique. Twenty-one of 23 patients had no complications shown on the postoperative upper gastrointestinal series. Stoma size was approximately 3-8 mm, and most patients showed delayed esophageal emptying without obstruction. Two patients had herniation of the stomach through the gastric band with pouch enlargement, resulting in obstruction and the need for additional surgery. We saw no leaks or band erosions. Nineteen stoma adjustments were performed in 13 patients. One patient had an inverted port that could not be accessed for adjustment. Conclusion: As adjustable gastric bands become more widely used, radiologists need to be familiar with the radiographic appearance of the devices, the complications associated with their use, and the optimal patient positioning for contrast evaluation. Radiologists may also be involved with band adjustment to decrease or increase the stoma size and therefore need to understand the technique and potential difficulties of adjusting the stoma.
MeSH term(s)	Adult ; Female ; Gastroplasty/instrumentation ; Gastroplasty/methods ; Humans ; Laparoscopy ; Male ; Middle Aged ; Obesity, Morbid/diagnostic imaging ; Obesity, Morbid/surgery ; Radiography, Interventional ; Silicones ; Stomach/diagnostic imaging ; Weight Loss
Chemical Substances	Silicones
Language	English
Publishing date	1998-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/ajr.170.4.9530049
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Article: Radiologic demonstration of important gastrostomy tube complications.

Wolf, E L / Frager, D / Beneventano, T C

Gastrointestinal radiology

1986 Volume 11, Issue 1, Page(s) 20–26

Abstract: Complications of gastrostomy tubes have been reported principally in the surgical literature and ... to the role of the radiologist in the evaluation of these complications. ... primarily affecting infants and children. Recent reports in the radiologic literature draw attention ...

Abstract	Complications of gastrostomy tubes have been reported principally in the surgical literature and primarily affecting infants and children. Recent reports in the radiologic literature draw attention to the role of the radiologist in the evaluation of these complications.
MeSH term(s)	Age Factors ; Constriction ; Digestive System/diagnostic imaging ; Equipment Failure ; Gastrostomy/adverse effects ; Gastrostomy/instrumentation ; Humans ; Intestinal Obstruction/diagnostic imaging ; Prolapse ; Radiography ; Stomach Diseases/diagnostic imaging
Language	English
Publishing date	1986
Publishing country	United States
Document type	Journal Article
ZDB-ID	196142-1
ISSN	0364-2356
ISSN	0364-2356
DOI	10.1007/BF02035025
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Article: Percutaneous radiologic and endoscopic gastrostomy: a 3-year institutional analysis of procedure performance.

Wollman, B / D'Agostino, H B

AJR. American journal of roentgenology

1997 Volume 169, Issue 6, Page(s) 1551–1553

Abstract: ... of the performance of percutaneous radiologic (PRG) and endoscopic (PEG) gastrostomy.: Materials and methods ... This study involved a retrospective review of 182 percutaneous gastrostomy procedures (68 PRG, 114 PEG ... anesthetic requirements, incidental findings on endoscopy, and complications.: Results: The success rate ...

Abstract	Objective: The study was designed to evaluate the safety, efficacy, and usefulness of the performance of percutaneous radiologic (PRG) and endoscopic (PEG) gastrostomy. Materials and methods: This study involved a retrospective review of 182 percutaneous gastrostomy procedures (68 PRG, 114 PEG) performed over a 3-year period. Parameters analyzed included technical success, procedure duration, anesthetic requirements, incidental findings on endoscopy, and complications. Results: The success rate for tube placement was higher for PRG than for PEG (100% versus 95%). PRG was subsequently performed in four of six patients in whom PEG procedures failed. Mean procedure duration was shorter for PRG than for PEG (32.9 min versus 39.1 min, p < .05). PRG was performed without conscious sedation (i.e., local anesthesia only) more frequently than was PEG (25% versus 0%, p < .001). The mean volume of doses of midazolam hydrochloride administered during PRG was two thirds of the volume of doses used during PEG. Incidental abnormalities were detected in 32 (30%) of the successful PEG procedures, 11 (10%) of which resulted in biopsy or medical therapy. No biopsy specimen showed evidence of malignancy. One (0.9%) patient received treatment other than gastric acid medication. Three (3%) major postprocedural complications occurred immediately after PEG and none (0%) occurred after PRG. Conclusion: The significant advantages of PRG over PEG included higher success rates, shorter procedure duration, and less conscious sedation required. PRG was also successful with patients for whom PEG failed.
MeSH term(s)	Conscious Sedation ; Endoscopy ; Enteral Nutrition ; Evaluation Studies as Topic ; Female ; Gastrostomy/adverse effects ; Gastrostomy/methods ; Gastrostomy/statistics & numerical data ; Humans ; Intubation, Gastrointestinal/methods ; Male ; Middle Aged ; Radiography, Interventional ; Retrospective Studies ; Time Factors
Language	English
Publishing date	1997-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/ajr.169.6.9393163
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Article: Radiologic, endoscopic, and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature.

Wollman, B / D'Agostino, H B / Walus-Wigle, J R / Easter, D W / Beale, A

Radiology

1995 Volume 197, Issue 3, Page(s) 699–704

Abstract: ... vs 95.7%, P < .001). Major complications occurred less frequently after radiologic gastrostomy ... patients underwent radiologic gastrotomy; 4,194, PEG; and 721, surgical gastrostomy). Seventy-two (47 male ... 25 female; age range, 12-94 years) underwent gastrostomy within 1 year in this series (radiologic ...

Abstract	Purpose: To evaluate the effectiveness and safety of radiologic, percutaneous endoscopic (PEG), and surgical gastrostomy. Materials and methods: This project involved 5,752 patients (837 patients underwent radiologic gastrotomy; 4,194, PEG; and 721, surgical gastrostomy). Seventy-two (47 male, 25 female; age range, 12-94 years) underwent gastrostomy within 1 year in this series (radiologic gastrostomy, n = 33; PEG, n = 35; surgical gastrostomy, n = 4). A meta-analysis of 5,680 additional cases from literature published from 1980 to the present was also performed. Results: Rates of successful tube placement were higher for radiologic gastrostomy than for PEG in our series and in the meta-analysis (99.2% vs 95.7%, P < .001). Major complications occurred less frequently after radiologic gastrostomy in our series and in the meta-analysis (5.9% vs 9.4% for PEG and 19.9% for surgery, P < .001). Thirty-day procedure-related mortality rates were highest for surgery (2.5% vs 0.3% for radiologic gastrostomy and 0.53% for PEG, P < .001). Conclusion: Radiologic gastrostomy is associated with a higher success rate than is PEG and less morbidity than either PEG or surgery.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia, Local ; Child ; Conscious Sedation ; Costs and Cost Analysis ; Enteral Nutrition/adverse effects ; Enteral Nutrition/economics ; Enteral Nutrition/instrumentation ; Enteral Nutrition/methods ; Evaluation Studies as Topic ; Female ; Follow-Up Studies ; Gastroscopy/adverse effects ; Gastroscopy/economics ; Gastroscopy/methods ; Gastrostomy/adverse effects ; Gastrostomy/economics ; Gastrostomy/instrumentation ; Gastrostomy/methods ; Humans ; Male ; Middle Aged ; Pain, Postoperative/prevention & control ; Radiology, Interventional/economics ; Radiology, Interventional/methods ; Risk Assessment ; Safety ; Survival Rate ; Time Factors
Language	English
Publishing date	1995-12
Publishing country	United States
Document type	Journal Article ; Meta-Analysis
ZDB-ID	80324-8
ISSN	1527-1315 ; 0033-8419
ISSN (online)	1527-1315
ISSN	0033-8419
DOI	10.1148/radiology.197.3.7480742
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