title: Percutaneous radiologic gastrostomy: a modified Chiba-needle puncture technique with single gastropexy.
abstract: BACKGROUND
  To evaluate the feasibility, safety, and effectiveness of percutaneous radiologic gastrostomy (PRG) with a modified Chiba-needle puncture technique with the use of a single gastropexy in the same puncture tract.
  
  
  METHODS
  In 80 patients with dysphagia, the stomach was punctured with a 21-gauge Chiba-needle, which was exchanged for a 6-Fr Neff catheter. Eleven patients with a high-lying stomach and four patients with surgically altered gastric morphology were included. A Cope suture anchor was then deployed into stomach lumens through the Neff catheter to achieve gastropexy. Then, following serial dilation, a 14-Fr diameter locking loop catheter was inserted.
  
  
  RESULTS
  All 80 patients successfully underwent PRG. Only a single puncture attempt was required for 78 patients (98%) and two attempts for two patients each. The average procedure time was 5 min 38 s. Three patients (3.8%) had major complications such as hemorrhage, deep stomal infection, and worsening pneumoperitoneum requiring tube removal. Procedure-related mortality and 30-day mortality was 0% and 5%, respectively.
  
  
  CONCLUSIONS
  PRG with the modified Chiba-needle puncture technique with use of single gastropexy in the same puncture tract was feasible, safe, and effective, especially in patients with high-lying or surgically altered stomachs.
authors.affiliation: Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. jhshin@amc.seoul.kr
authors.forename: Ji Hoon
authors.initials: JH
authors.lastname: Shin
authors.forename: Ho-Young
authors.initials: HY
authors.lastname: Song
authors.forename: Tae-Hyung
authors.initials: TH
authors.lastname: Kim
authors.forename: Kyung-Rae
authors.initials: KR
authors.lastname: Kim
authors.forename: K Eugene
authors.initials: KE
authors.lastname: Choi
authors.forename: Jin Hyoung
authors.initials: JH
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D003680:Deglutition Disorders / Q000150:complications*; D005240:Feasibility Studies; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles; D011183:Postoperative Complications / Q000401:mortality; D011677:Punctures; D015641:Radiography, Interventional / Q000379:methods*; D013537:Sutures; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media