FLUOROSCOPICALLY GUIDED PERCUTANEOUS GASTROSTOMY - TUBE FUNCTION AND MALFUNCTION

被引:34
作者
MCLOUGHLIN, RF [1 ]
GIBNEY, RG [1 ]
机构
[1] ST VINCENTS HOSP,DEPT DIAGNOST IMAGING,DUBLIN 4,IRELAND
来源
ABDOMINAL IMAGING | 1994年 / 19卷 / 03期
关键词
GASTROSTOMY; FLUOROSCOPICALLY GUIDED; ENTERAL FEEDING;
D O I
10.1007/BF00203505
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We describe our experience with fluoroscopically guided percutaneous gastrostomy, assessing in particular the functional performance of inserted tubes. We also examine the ability of radiological investigations to detect intraperitoneal gastrostomy leakage after the procedure. A functioning gastrostomy tube was established and maintained for as long as was required in 34 (89.5%) of 38 patients referred during a 21-month period. This necessitated further gastrostomy tube placements in 13 patients. On average, inserted gastrostomy tubes functioned for 10.75 weeks and during the review period a total of 34 malfunctioning tubes required replacement or removal. This was most commonly due to tube dislodgement, blockage, or intraperitoneal leakage. We found increasing pneumoperitoneum on sequential postprocedure erect chest films a reliable sign in the diagnosis of the latter complication. In conclusion, while we have been disappointed with aspects of individual tube function, our satisfactory overall functional success rate indicates that percutaneous gastrostomy is an effective method for establishing and maintaining enteral feeding. We also propose a protocol for the management of suspected intraperitoneal leakage based on the findings on postprocedure erect chest films.
引用
收藏
页码:195 / 200
页数:6
相关论文
共 14 条
[1]  
CHUNG RS, 1990, AM SURGEON, V56, P134
[2]   PNEUMOPERITONEUM FOLLOWING PERCUTANEOUS ENDOSCOPIC GASTROSTOMY - A PROSPECTIVE-STUDY [J].
GOTTFRIED, EB ;
PLUMSER, AB ;
CLAIR, MR .
GASTROINTESTINAL ENDOSCOPY, 1986, 32 (06) :397-399
[3]   MODIFIED CATHETER FOR PERCUTANEOUS GASTROJEJUNOSTOMY [J].
GRAY, RR ;
STLOUIS, EL ;
GROSMAN, H .
RADIOLOGY, 1989, 173 (01) :276-278
[4]   PERCUTANEOUS FEEDING GASTROSTOMY WITH THE SELDINGER TECHNIQUE - REVIEW OF 252 PATIENTS [J].
HALKIER, BK ;
HO, CS ;
YEE, ACN .
RADIOLOGY, 1989, 171 (02) :359-362
[5]   PERCUTANEOUS GASTROSTOMY FOR ENTERAL FEEDING [J].
HO, CS ;
GRAY, RR ;
GOLDFINGER, M ;
ROSEN, IE ;
MCPHERSON, R .
RADIOLOGY, 1985, 156 (02) :349-351
[6]   PERCUTANEOUS GASTROSTOMY AND TRANSGASTRIC JEJUNOSTOMY [J].
HO, CS ;
YEUNG, EY .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1992, 158 (02) :251-257
[7]   PERCUTANEOUS GASTROSTOMY FOR JEJUNAL FEEDING [J].
HO, CS .
RADIOLOGY, 1983, 149 (02) :595-596
[8]  
KUTCHER W, 1989, GASTROENTEROLOGY, V5, P686
[9]   PERCUTANEOUS ENDOSCOPIC GASTROSTOMY [J].
MORAN, BJ ;
TAYLOR, MB ;
JOHNSON, CD .
BRITISH JOURNAL OF SURGERY, 1990, 77 (08) :858-862
[10]   PERCUTANEOUS DRAINAGE AND FEEDING GASTROSTOMIES IN 100 PATIENTS [J].
OKEEFFE, F ;
CARRASCO, CH ;
CHARNSANGAVEJ, C ;
RICHLI, WR ;
WALLACE, S ;
FREEDMAN, RS .
RADIOLOGY, 1989, 172 (02) :341-343