Percutaneous radiologic gastrostomy: A modified Chiba-needle puncture technique with single gastropexy

Ji Hoon Shin, Ho Young Song, Tae Hyung Kim, Kyung Rae Kim, K. Eugene Choi, Jin Hyoung Kim

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Background: To evaluate the feasibility, safety, and effectiveness of percutaneous radiologic gastrostomy (PRG) with a modified Chiba-needle puncture technique with the use of a single gastropexy in the same puncture tract. Methods: In 80 patients with dysphagia, the stomach was punctured with a 21-gauge Chiba-needle, which was exchanged for a 6-Fr Neff catheter. Eleven patients with a high-lying stomach and four patients with surgically altered gastric morphology were included. A Cope suture anchor was then deployed into stomach lumens through the Neff catheter to achieve gastropexy. Then, following serial dilation, a 14-Fr diameter locking loop catheter was inserted. Results: All 80 patients successfully underwent PRG. Only a single puncture attempt was required for 78 patients (98%) and two attempts for two patients each. The average procedure time was 5 min 38 s. Three patients (3.8%) had major complications such as hemorrhage, deep stomal infection, and worsening pneumoperitoneum requiring tube removal. Procedure-related mortality and 30-day mortality was 0% and 5%, respectively. Conclusions: PRG with the modified Chiba-needle puncture technique with use of single gastropexy in the same puncture tract was feasible, safe, and effective, especially in patients with high-lying or surgically altered stomachs.

Original languageEnglish (US)
Pages (from-to)189-194
Number of pages6
JournalAbdominal Imaging
Volume35
Issue number2
DOIs
StatePublished - Apr 1 2010
Externally publishedYes

Keywords

  • Enterostomy
  • Gastropexy
  • High-lying stomach
  • Percutaneous gastrostomy
  • Surgically altered stomach

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

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