title: [Radiological percutaneous gastrostomy (GRP), 17 años de experiencia, serie de casos del hospital Universitario Virgen del Rocío].
abstract: When assessing a patient nutritional support the state of the gastrointestinal tract is the most important point to consider, whenever possible we should choose the enteral nutrition (EN) over parenteral nutrition (PN) and recognized by its various advantages. The percutaneous gastrostomy (GRP) were introduced in clinical practice as an alternative to surgical gastrostomy (GQ). The speed, simplicity, low cost, low morbidity and low mortality of these techniques has allowed its rapid development.The feeding tubes types used were the balloon-retained devices catheter, the pig tail and the ballon-retained with gastropexia (gastropexia). It is a retrospective study of all patients who were placed GPR in the Virgen del Rocío University Hospital, Sevilla, between September 1996 and September 2013, which aims to study is to describe the characteristics of patients and the complications presented for different types of enteral feeding tubes used. GPR 186 were performed in 176 patients (135 males (76.70%), with an average duration of 303.6 days, the most frequent diseases were cancers of the head and neck 49.46%. The types of feeding tubes used were pigtail 118 (63.44%), balloon-retained devices 22 (11.83%), and gastropexia 46 (24.73%). The most common early complications in the pigtail group were early purulent exudate and early bleeding (2.5 and 3.4% respectively), while in the balloon catheter group the initial output of the probe was most frequent early complication (13.7%), none of these complications were observed in the group of gastropexy. The most common late complication was obstruction probe. The GPR is a safe technique with lower mortality of 1%; Low frequently of early and late complications. A better understanding of this technique can reduce the frequency of complications.
authors.affiliation: Servicio de Endocrinología, Unidad de Nutrición Clínica y Dietética, Hospital Universitario Virgen del Rocío. España.. magginav@gmail.com.
authors.forename: Magnolia Del Carmen
authors.initials: Mdel C
authors.lastname: Navarro Falcón
authors.affiliation: Servicio de Endocrinología, Unidad de Nutrición Clínica y Dietética, Hospital Universitario Virgen del Rocío. España.. magginav@gmail.com.
authors.forename: Juana
authors.initials: J
authors.lastname: Parejo Campos
authors.affiliation: Servicio de Endocrinología, Unidad de Nutrición Clínica y Dietética, Hospital Universitario Virgen del Rocío. España.. magginav@gmail.com.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Pereira Cunill
authors.affiliation: Servicio de Endocrinología, Unidad de Nutrición Clínica y Dietética, Hospital Universitario Virgen del Rocío. España.. magginav@gmail.com.
authors.forename: Pedro Pablo
authors.initials: PP
authors.lastname: García Luna
mesh_terms: D057785:Catheters; D004750:Enteral Nutrition / Q000009:adverse effects / Q000379:methods; D005260:Female; D015905:Gastric Balloon; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies