title: Percutaneous radiologic gastrostomy using the one-anchor technique in patients after partial gastrectomy.
abstract: OBJECTIVE
  The purpose of our study was to assess the feasibility of performing percutaneous radiologic gastrostomy (PRG) in patients who had undergone partial gastrectomy and to evaluate factors associated with technical success.
  
  
  METHODS
  Nineteen patients after partial gastrectomy, who were referred for PRG between April 2006 and April 2012, were retrospectively analyzed. The remnant stomach was punctured using a 21-gauge Chiba-needle. A single anchor was used for the gastropexy and a 12-Fr or 14-Fr gastrostomy tube was inserted. Data were collected regarding the technical success, procedure time, and presence of any complications. Univariable analyses were performed to determine the factors related to the technical success.
  
  
  RESULTS
  Percutaneous radiologic gastrostomy was technically successful in 10 patients (53%), while a failed attempt and failure without an attempt were observed in 5 (26%) and 4 (21%) patients, respectively. Percutaneous radiologic jejunostomy was successfully performed in 9 patients who experienced technical failure. In the 10 successful PRG cases, the mean procedure time was 6.35 minutes. Major complications occurred in 2 patients, tube passage through the liver and pneumoperitonum in one and severe hemorrhage in the other. The technical success rate was higher in patients with Billroth I gastrectomy (100%, 6/6) than in patients with Billroth II gastrectomy (31%, 4/13) (p = 0.011).
  
  
  CONCLUSIONS
  Percutaneous radiologic gastrostomy can be successfully performed using the one-anchor technique in approximately half of the patients after partial gastrectomy.
authors: Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
authors: Jung-Hoon
authors: JH
authors: Park
authors: Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
authors: Ji Hoon
authors: JH
authors: Shin
authors: Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
authors: Heung Kyu
authors: HK
authors: Ko
authors: Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
authors: Jin Hyoung
authors: JH
authors: Kim
authors: Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
authors: Ho-Young
authors: HY
authors: Song
authors: Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, Korea.
authors: Soo Hwan
authors: SH
authors: Kim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D018530:Gastric Stump; D005774:Gastrostomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011677:Punctures / Q000379:methods; D015641:Radiography, Interventional; D012189:Retrospective Studies; D013536:Suture Techniques / Q000592:standards*; D016896:Treatment Outcome
keywords: Partial gastrectomy; Percutaneous radiologic gastrostomy; Percutaneous radiologic jejunostomy