title: Safety and Short-Term Complication Rates Using Single-Puncture T-Fastener Gastropexy.
abstract: OBJECTIVE
  To report a single operator's experience using a modified single-puncture gastrostomy technique deploying up to three nonabsorbable gastropexy anchors.
  
  
  METHODS
  A retrospective review of 69 consecutive patients undergoing gastrostomy, gastrojejunostomy, or jejunostomy tube insertion between March 2012 and January 2014 was performed. Technical success and 30-day local, major, and minor complication rates were assessed according to the Society of Interventional Radiology (SIR) Standards of Practice for Gastrointestinal Access. Procedure time was also recorded.
  
  
  RESULTS
  Primary technical success of the procedure was 98.6% (68/69). In one patient, the procedure was aborted because the stomach could not be safely accessed. Major complications occurred in one of 69 (1.4%) patients, minor complications occurred in 10 of 69 (13%) patients, and local complications occurred in three of 69 (4.3%) patients. Local complications consisted of redness and mild tenderness at the enteric access site. Mean procedure time was 5 minutes (range, 3.1-36 min).
  
  
  CONCLUSIONS
  Single-puncture, multianchor gastrostomy is a feasible technique for radiologically guided enteric access tube insertion with technical success and complication rates similar to conventional gastrostomy techniques. This technique could be considered when expeditious performance of a procedure is required.
authors.affiliation: Michael G. DeGroote School of Medicine, McMaster University, 1200 Main Street West, Hamilton, Ontario L7P4V9, Canada.
authors.forename: Lazar
authors.initials: L
authors.lastname: Milovanovic
authors.affiliation: Michael G. DeGroote School of Medicine, McMaster University, 1200 Main Street West, Hamilton, Ontario L7P4V9, Canada.
authors.forename: Sean A
authors.initials: SA
authors.lastname: Kennedy
authors.affiliation: Department of Orthopedic Surgery, University of Washington, Seattle, Washington.
authors.forename: Bopha
authors.initials: B
authors.lastname: Chrea
authors.affiliation: Department of Diagnostic Imaging, McMaster University, 1200 Main Street West, Hamilton, Ontario L7P4V9, Canada. Electronic address: midia@hhsc.ca.
authors.forename: Mehran
authors.initials: M
authors.lastname: Midia
mesh_terms: D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D005240:Feasibility Studies; D059485:Gastropexy / Q000009:adverse effects / Q000295:instrumentation*; D005774:Gastrostomy / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000295:instrumentation*; D011677:Punctures; D015641:Radiography, Interventional; D012189:Retrospective Studies; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation*; D013997:Time Factors; D016896:Treatment Outcome