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

Publication ,  Journal Article
Sydnor, RH; Schriber, SM; Kim, CY
Published in: Gut Liver
September 2014

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.

Duke Scholars

Published In

Gut Liver

DOI

EISSN

2005-1212

Publication Date

September 2014

Volume

8

Issue

5

Start / End Page

495 / 499

Location

Korea (South)

Related Subject Headings

  • Time Factors
  • Surgical Fixation Devices
  • Retrospective Studies
  • Middle Aged
  • Male
  • Intubation, Gastrointestinal
  • Humans
  • Gastropexy
  • Foreign-Body Migration
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Sydnor, R. H., Schriber, S. M., & Kim, C. Y. (2014). T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion. Gut Liver, 8(5), 495–499. https://doi.org/10.5009/gnl13204
Sydnor, Ryan H., Stacey M. Schriber, and Charles Yoon Kim. “T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion.Gut Liver 8, no. 5 (September 2014): 495–99. https://doi.org/10.5009/gnl13204.
Sydnor RH, Schriber SM, Kim CY. T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion. Gut Liver. 2014 Sep;8(5):495–9.
Sydnor, Ryan H., et al. “T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion.Gut Liver, vol. 8, no. 5, Sept. 2014, pp. 495–99. Pubmed, doi:10.5009/gnl13204.
Sydnor RH, Schriber SM, Kim CY. T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion. Gut Liver. 2014 Sep;8(5):495–499.

Published In

Gut Liver

DOI

EISSN

2005-1212

Publication Date

September 2014

Volume

8

Issue

5

Start / End Page

495 / 499

Location

Korea (South)

Related Subject Headings

  • Time Factors
  • Surgical Fixation Devices
  • Retrospective Studies
  • Middle Aged
  • Male
  • Intubation, Gastrointestinal
  • Humans
  • Gastropexy
  • Foreign-Body Migration
  • Female