T-Fastener Migration after Percutaneous Gastropexy for Transgastric Enteral Tube Insertion
Gut and Liver
;
: 495-499, 2014.
Article
in English
| WPRIM
| ID: wpr-108132
ABSTRACT
BACKGROUND/AIMS:
To determine the prevalence and time-course of t-fastener migration after gastropexy deployment.METHODS:
We reviewed our procedural database for all percutaneous gastrostomy and gastrojejunostomy tube insertions performed over a 14-month period using a widely accepted t-fastener kit for gastropexy (Kimberly-Clark). Of 201 patients, 71 (41 males, 30 females; mean age, 56 years) underwent subsequent abdominal computed tomography (CT) imaging. The location and associated findings of each t-fastener were retrospectively recorded for each CT scan performed after the tube insertion.RESULTS:
A total of 153 t-fasteners were deployed during 71 procedures with subsequent CT follow-up. In the short term (within 4 weeks after deployment), 5.1% of the t-fasteners had detached and were no longer present; 59.5% were intraluminal or within the gastric wall; and 35.5% were within the anterior abdominal wall musculature or subcutaneous. In the long term (>3 months), 48.6% of the t-fasteners had detached and were no longer present, 25.0% were intraluminal or within the gastric wall, and 26.4% were within the anterior abdominal wall musculature or subcutaneous. No t-fastener-related complications, such as abscesses, fluid collections, or fistulae, were identified.CONCLUSIONS:
Following gastropexy for percutaneous transgastric feeding tube placement, t-fastener migration into the abdominal wall frequently occurred soon after the tube insertion. Therefore, recent t-fastener deployment does not guarantee an intact gastropexy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Time Factors
/
Retrospective Studies
/
Foreign-Body Migration
/
Enteral Nutrition
/
Abdominal Wall
/
Surgical Fixation Devices
/
Gastropexy
/
Intubation, Gastrointestinal
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Gut and Liver
Year:
2014
Type:
Article
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