T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion.

Published

Journal Article

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

Duke Authors

Cited Authors

  • Sydnor, RH; Schriber, SM; Kim, CY

Published Date

  • September 2014

Published In

Volume / Issue

  • 8 / 5

Start / End Page

  • 495 - 499

PubMed ID

  • 25228973

Pubmed Central ID

  • 25228973

Electronic International Standard Serial Number (EISSN)

  • 2005-1212

Digital Object Identifier (DOI)

  • 10.5009/gnl13204

Language

  • eng

Conference Location

  • Korea (South)