title: Removal of T-fasteners 2 days after gastrostomy is feasible.
abstract: T-fastener gastropexy is widely performed as part of gastrostomy insertion. The current literature recommends removal of T-fasteners at 2 weeks. We present a series of patients in whom T-fasteners were removed at 2 days with no major complications. We removed T-fasteners in 109 patients (male-to-female ratio 59:50, age range 18 to 88 years, mean age 62 years) at 2 days after gastrostomy insertion. Indications for gastrostomy included amytrophic lateral sclerosis, cerebrovascular accidents, head and neck carcinoma, multiple sclerosis, and others, including brain tumours and chronic inflammatory demyelinating polyneuropathy. No peritubal leaks or other major complications were seen in the study population. In the study group, 15 minor complications were recorded (14%), including localised infection and pain, both of which resolved on removal of T-fasteners. We conclude that it is feasible and safe to remove T-fasteners at 2 days.
authors.affiliation: Department of Academic Radiology, Beaumont Hospital, Dublin 9, Ireland.
authors.forename: A
authors.initials: A
authors.lastname: Foster
authors.forename: M
authors.initials: M
authors.lastname: Given
authors.forename: E
authors.initials: E
authors.lastname: Thornton
authors.forename: T
authors.initials: T
authors.lastname: Geoghegan
authors.forename: F
authors.initials: F
authors.lastname: Keeling
authors.forename: F
authors.initials: F
authors.lastname: McGrath
authors.forename: M J
authors.initials: MJ
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D020878:Device Removal; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D015641:Radiography, Interventional; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media