REGULAR CONTENT
Final ID
517
Type
Original Scientific Research-Oral or Pos
Authors
K Liu1, M Darcy1, C Guevara1, S Kim1
Institutions
1Mallinckrodt Institute of Radiology, Washington University in St Louis, Saint Louis, MO
Purpose
To compare long term outcomes of separate percutaneous gastrostomy (G) and single lumen gastrojejunostomy (GJ) tube placement with double lumen GJ tube placement for gastric decompression and postpyloric enteral feeding.
Materials & Methods
From January 2010 to December 2014, 43 consecutive patients (M:F =20:23, mean age, 56.5 y) underwent fluoroscopy-guided separate percutaneous G (14F Cope loop type, Cook Medical ) tube and single lumen GJ tube (14F, Shetty GJ tube, Cook Medical) placement for gastric decompression and postpyloric feeding and 32 consecutive patients (M:F =17:15, mean age, 55 y) underwent fluoroscopy-guided double lumen MIC GJ tube (18F, Kimberly-Clark) placement. Procedural data, technical success rate, immediate and long term complications such as catheter obstruction, tip malposition, pericatheter leakage, dislodgement and local infection were retrospectively reviewed and compared between two groups.
Results
The technical success rate was 100 % for both groups. There was no procedure related major complication or mortality for either group. Sedation time (mean 54.8 min, range, 110-22 min) for separate G and GJ group was similar to that for double lumen GJ tube group (mean 49.7 min, range, 30-105 min) (p = 0.29). During follow up (mean 106 days, 2-625 days), there were 11 long term complications (25.6%, 11/43) in separate G and GJ tube group such as catheter obstruction (n=1), catheter tip malposition (n=6), pericatheter leakage (n=2), dislodgement (n=1) and infection (n=1). During follow up (mean 136 days, 4-858 days), there were 17 long term complications (53%, 17/32) in double lumen GJ group such as catheter obstruction (n=7), catheter tip malposition (n=4), dislodgement (n=3), catheter defect (n=2) and self-inflicted catheter defect (n=1). Long term complication rate in separate G and GJ group was significantly lower than that in double lumen GJ tube group (25.6% vs 53% p = 0.018).
Conclusions
Placement of separate percutaneous G and single lumen GJ tube for gastric decompression and postpyloric enteral feeding showed a lower long term complication rate and similar procedure time compared with placement of double lumen GJ tube.
Final ID
517
Type
Original Scientific Research-Oral or Pos
Authors
K Liu1, M Darcy1, C Guevara1, S Kim1
Institutions
1Mallinckrodt Institute of Radiology, Washington University in St Louis, Saint Louis, MO
Purpose
To compare long term outcomes of separate percutaneous gastrostomy (G) and single lumen gastrojejunostomy (GJ) tube placement with double lumen GJ tube placement for gastric decompression and postpyloric enteral feeding.
Materials & Methods
From January 2010 to December 2014, 43 consecutive patients (M:F =20:23, mean age, 56.5 y) underwent fluoroscopy-guided separate percutaneous G (14F Cope loop type, Cook Medical ) tube and single lumen GJ tube (14F, Shetty GJ tube, Cook Medical) placement for gastric decompression and postpyloric feeding and 32 consecutive patients (M:F =17:15, mean age, 55 y) underwent fluoroscopy-guided double lumen MIC GJ tube (18F, Kimberly-Clark) placement. Procedural data, technical success rate, immediate and long term complications such as catheter obstruction, tip malposition, pericatheter leakage, dislodgement and local infection were retrospectively reviewed and compared between two groups.
Results
The technical success rate was 100 % for both groups. There was no procedure related major complication or mortality for either group. Sedation time (mean 54.8 min, range, 110-22 min) for separate G and GJ group was similar to that for double lumen GJ tube group (mean 49.7 min, range, 30-105 min) (p = 0.29). During follow up (mean 106 days, 2-625 days), there were 11 long term complications (25.6%, 11/43) in separate G and GJ tube group such as catheter obstruction (n=1), catheter tip malposition (n=6), pericatheter leakage (n=2), dislodgement (n=1) and infection (n=1). During follow up (mean 136 days, 4-858 days), there were 17 long term complications (53%, 17/32) in double lumen GJ group such as catheter obstruction (n=7), catheter tip malposition (n=4), dislodgement (n=3), catheter defect (n=2) and self-inflicted catheter defect (n=1). Long term complication rate in separate G and GJ group was significantly lower than that in double lumen GJ tube group (25.6% vs 53% p = 0.018).
Conclusions
Placement of separate percutaneous G and single lumen GJ tube for gastric decompression and postpyloric enteral feeding showed a lower long term complication rate and similar procedure time compared with placement of double lumen GJ tube.