CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S6
DOI: 10.1055/s-0041-1730661
Abstract

Percutaneous Radiologic Gastrojejunostomy: Feasibility and Safety of a Modified Chiba-Needle Puncture Technique

Yasir Mohammed Nouri
ASAN Medical Center, University of Ulsan, Seoul, South Korea
,
Youngjong Cho
ASAN Medical Center, University of Ulsan, Seoul, South Korea
,
Ji Hoon Shin
ASAN Medical Center, University of Ulsan, Seoul, South Korea
,
Jong Woo Kim
ASAN Medical Center, University of Ulsan, Seoul, South Korea
,
Jin Hyoung Kim
ASAN Medical Center, University of Ulsan, Seoul, South Korea
,
Heung Kyu Ko
ASAN Medical Center, University of Ulsan, Seoul, South Korea
› Author Affiliations

Background: The aim of the study was to evaluate the feasibility, safety, and effectiveness of percutaneous radiologic gastrojejunostomy (PRGJ) using a modified Chiba-needle puncture technique with a single gastropexy in the same puncture tract. Methods: A total of 57 PRGJ procedures using the one anchor technique were attempted in 55 consecutive patients between January 2008 and January 2017. The stomach was punctured using a 21-gauge Chiba-needle. A single anchor was used, and gastrojejunostomy tube placement was performed through the same tract of the anchor. The technical success, time length of the procedure, complications occurring within the next 30 days, and procedure-related mortality were evaluated by means of reviewing the imaging studies and patient medical records. Results: All 57 PRGJ procedures were successfully performed. The average procedure time was 16 min and 28 s. There were no procedure-related major complications. Only eight patients had pneumoperitoneum (14%) which was a minor complication and resolved spontaneously without further problems. There was no evidence of gastroesophageal reflux or aspiration aggravation in any study patient during the follow-up period. The procedure-related mortality was zero. Conclusion: PRJG using the modified Chiba-needle puncture technique with the use of a single gastropexy in the same puncture tract was demonstrated to be feasible, safe, and effective.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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