Radiologically Guided Placement of Mushroom-retained Gastrostomy Catheters: Long-term Outcomes of Use in 300 Patients at a Single Center

Radiology
Osman AhmedBrian Funaki

Abstract

To assess long-term outcomes including risk of complications and nutritional benefits of mushroom-retained (pull-type) gastrostomy catheters placed in patients by interventional radiologists. All patients who received pull-type gastrostomy tubes between 2010 and 2013 were retrospectively reviewed, including 142 men (average weight, 169.6 lb [76.32 kg]; mean age, 65.2 years; range, 22-92 years) and 158 women (average weight, 150.4 lb [67.68 kg]; mean age, 65.2 years; range, 18-98 years). Indications for placement were cerebrovascular accident (n = 80), failure to thrive (n = 71), other central nervous system disorder (n = 51), head and neck cancer (n = 47), and other malignancy (n = 51). Complications were recorded per Society of Interventional Radiology practice guidelines. Patient weight was documented at specific follow-up intervals. Statistical analysis was performed by using the Student t test and one-way analysis of variance for the effects of sex and indication for placement, respectively, on average weight change. The technical success rate was 98.4% (300 of 305 patients). Major and minor complications occurred at a rate of 3.7% (n = 11) and 13% (n = 39), respectively. Follow-up weight during the early (≤45 days), interm...Continue Reading

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Citations

Dec 15, 2015·Journal of Vascular and Interventional Radiology : JVIR·Rahul A ShethPeter R Mueller
May 3, 2016·Journal of Vascular and Interventional Radiology : JVIR·Lazar MilovanovicMehran Midia
Jul 17, 2016·Current Gastroenterology Reports·Adarsh M Thaker, Alireza Sedarat
Feb 18, 2020·World Journal of Gastroenterology : WJG·Sasan PartoviDustin Thompson
Sep 23, 2019·Journal of Vascular and Interventional Radiology : JVIR·Shawn MaRichard D Shlansky-Goldberg

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