| Autor: |
Robert J, Litwin, Alda L, Tam, Rahul A, Sheth, Steven M, Yevich, Johanna L, Chan, Amir A, Jazaeri, Josiah K, Halm, Sanjay, Gupta, Steven Y, Huang |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Abdominal radiology (New York). 46(9) |
| ISSN: |
2366-0058 |
| Popis: |
To evaluate the safety and primary technical success rate of gastric decompression via percutaneous transabdominal gastrostomy (PTAG) or percutaneous transesophageal gastric (PTEG) catheter placement for management of malignant bowel obstruction (MBO). A secondary purpose was to evaluate the safety and success rate for PTAG catheter placement in patients with both MBO and ascites.A single-institution retrospective review of 385 patients who underwent attempted decompression gastric catheter placement from March 2013 to August 2018 was performed. Medical records and imaging studies were reviewed. A subgroup of patients with concomitant MBO and ascites were identified. The primary outcome measures were procedural technical success and procedural complications.394 decompression gastrostomy catheters were attempted from 2013 to 2018, n = 353 PTAG and n = 41 PTEG. The success rate was 95.5% (n = 337 of 353) for PTAG and 97.6% (n = 40 of 41) for PTEG. There were 63 total complications involving 47 (13.9%) patients following PTAG and 13 total complications involving 9 (22.5%) patients following PTEG, P = 0.16. For the subgroup of patients with MBO and ascites, the success rate was 94.8% (n = 182 of 192 patients), and there were 20 complications involving 17 (12.9%) of 132 patients.Gastric decompression for patients with MBO via PTAG or PTEG catheter placement is associated with high success rates and low complications. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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