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      저자 : ( Stacey M. Schriber ) (검색결과 1 건)
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        T-Fastener Migration after Percutaneous Gastropexy for Transgastric Enteral Tube Insertion

        ( Ryan H. Sydnor ),( Stacey M. Schriber ),( Charles Yoon Kim ) 대한소화기학회 2014 Gut and Liver Vol.8 No.5

        Background/Aims: To determine the prevalence and timecourse 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 followup. 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. (Gut Liver 2014;8:495-499)

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