Primäre einzeitige durchleuchtungsgesteuerte perkutane Gastrostomie (PG)
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Primäre einzeitige durchleuchtungsgesteuerte perkutane Gastrostomie (PG) : Erste Ergebnisse mit dem Freka® GastroTube. / Hahne, J D; Schönnagel, B P; Arndt, C; Herrmann, J; Bannas, P; Koops, A; Adam, G; Habermann, C R.
in: ROFO-FORTSCHR RONTG, Jahrgang 183, Nr. 7, 01.07.2011, S. 641-4.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Primäre einzeitige durchleuchtungsgesteuerte perkutane Gastrostomie (PG)
T2 - Erste Ergebnisse mit dem Freka® GastroTube
AU - Hahne, J D
AU - Schönnagel, B P
AU - Arndt, C
AU - Herrmann, J
AU - Bannas, P
AU - Koops, A
AU - Adam, G
AU - Habermann, C R
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2011/7/1
Y1 - 2011/7/1
N2 - PURPOSE: To determine the practicability and outcome of fluoroscopic-guided primary one-step treatment of percutaneous gastrostomy (PG) with the system Freka® Gastro Tube (Fresenius Kabi, Germany).MATERIALS AND METHODS: In 39 patients (mean age 62.7 ± 12.0 years), primary PG was performed based on clinical indication from August 2009 to April 2010. The intervention was performed by an experienced radiologist under aseptic conditions by direct puncture with Freka® Gastro Tube under fluoroscopic guidance. The clinical data and outcome as well as any complications originated from the electronic archive of the University Medical Center Hamburg-Eppendorf.RESULTS: The intervention was technically successful in all 39 patients. Within the mean follow-up time of 155.3 ± 73.6 days, 29 patients (74.4 %) did not experience complications. 10 patients (25.6 %) had to be revised. Complications manifested after a mean of 135.6 ± 61.2 days and mainly corresponded to accidental dislocation (50 %). One patient had to be surgically revised under suspicion of a malpositioned tube and suspected intestinal perforation. Clinically relevant wound infections were not detected. The total costs per patient were 553.17 € for our single-step treatment (OPS 5 - 431.x) vs. 963.69 € (OPS 5 - 431.x and OPS 8 - 123.0) for the recommended two-step treatment.CONCLUSION: Fluoroscopic-guided primary single-step treatment with Freka® Gastro Tube system is feasible and not associated with an increased complication rate when compared to published literature applying a two-step treatment approach. Material costs as well as human and time resources could be significantly reduced using the single-step treatment.
AB - PURPOSE: To determine the practicability and outcome of fluoroscopic-guided primary one-step treatment of percutaneous gastrostomy (PG) with the system Freka® Gastro Tube (Fresenius Kabi, Germany).MATERIALS AND METHODS: In 39 patients (mean age 62.7 ± 12.0 years), primary PG was performed based on clinical indication from August 2009 to April 2010. The intervention was performed by an experienced radiologist under aseptic conditions by direct puncture with Freka® Gastro Tube under fluoroscopic guidance. The clinical data and outcome as well as any complications originated from the electronic archive of the University Medical Center Hamburg-Eppendorf.RESULTS: The intervention was technically successful in all 39 patients. Within the mean follow-up time of 155.3 ± 73.6 days, 29 patients (74.4 %) did not experience complications. 10 patients (25.6 %) had to be revised. Complications manifested after a mean of 135.6 ± 61.2 days and mainly corresponded to accidental dislocation (50 %). One patient had to be surgically revised under suspicion of a malpositioned tube and suspected intestinal perforation. Clinically relevant wound infections were not detected. The total costs per patient were 553.17 € for our single-step treatment (OPS 5 - 431.x) vs. 963.69 € (OPS 5 - 431.x and OPS 8 - 123.0) for the recommended two-step treatment.CONCLUSION: Fluoroscopic-guided primary single-step treatment with Freka® Gastro Tube system is feasible and not associated with an increased complication rate when compared to published literature applying a two-step treatment approach. Material costs as well as human and time resources could be significantly reduced using the single-step treatment.
KW - Aged
KW - Catheters, Indwelling
KW - Costs and Cost Analysis
KW - Equipment Design
KW - Female
KW - Fluoroscopy
KW - Follow-Up Studies
KW - Gastrostomy
KW - Humans
KW - Male
KW - Middle Aged
KW - National Health Programs
KW - Reoperation
KW - Surgical Procedures, Minimally Invasive
U2 - 10.1055/s-0029-1246109
DO - 10.1055/s-0029-1246109
M3 - SCORING: Zeitschriftenaufsatz
C2 - 21391175
VL - 183
SP - 641
EP - 644
JO - ROFO-FORTSCHR RONTG
JF - ROFO-FORTSCHR RONTG
SN - 1438-9029
IS - 7
ER -
