Percutaneous gastrostomy with T-fastener gastropexy: results of 316 consecutive procedures.
OBJECTIVE
To assess the rates of technical success and complications associated with radiologic gastrostomy or gastrojejunostomy performed with T-fastener gastropexy.


METHODS
In 316 consecutive patients, radiologic gastrostomy or gastrojejunostomy with T-fastener gastropexy was performed over a 10-year period. Results of the procedures were reviewed. Results of follow-up were available for all patients.


RESULTS
Of 316 procedures, 314 were successful (technical success rate, 99.4%). Six (1.9%) major complications occurred; 50% occurred in patients with peritoneal involvement from ovarian carcinoma. Ten (3.2%) minor complications occurred. Four minor complications occurred in patients with ovarian cancer and ascites. The 30-day mortality rate was 3.8% (12 patients) with one procedure-related death (0.3%).


CONCLUSIONS
A T-fastener gastropexy may have a protective role in prevention of leakage of gastric contents into the peritoneum in patients with ascites. Ascites need no longer be considered a contraindication for radiologic gastrostomy. A gastropexy enables routine use of larger gastrostomy tubes and ready replacement of a displaced tube even before the development of a mature tract.
Ryan
J M
JM
Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston 02114, USA.
Hahn
P F
PF
Boland
G W
GW
McDowell
R K
RK
Saini
S
S
Mueller
P R
PR
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome