12Fr-Pigtail Versus 14Fr-Balloon Percutaneous Radiologic Gastrostomy (PRG), Retrospective Evaluation of Outcomes and Complications; A Maastricht University Medical Centre Study,CardioVascular and Interventional Radiology

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12Fr-Pigtail Versus 14Fr-Balloon Percutaneous Radiologic Gastrostomy (PRG), Retrospective Evaluation of Outcomes and Complications; A Maastricht University Medical Centre Study
CardioVascular and Interventional Radiology ( IF 2.8 ) Pub Date : 2023-08-17 , DOI: 10.1007/s00270-023-03527-6
Glenn Dams ₁ , Robrecht R M M Knapen _{2,

3} , Remon Korenblik _{4,

5} , Ronald M van Dam _{5,

6,

7} , Michiel W de Haan ₂ , Christiaan van der Leij _{2,

5}

Affiliation

Purpose

To retrospectively compare tube and placement related results of a 12Fr-pigtail and a 14Fr-balloon gastrostomy tube.

Materials and Methods

All consecutive patients who underwent percutaneous radiologic gastrostomy (PRG) between January 2016 and June 2020 were enrolled in this retrospective single-center analysis. Follow-up for all patients was 180 days. Mortality after 30 days, technical success, days to first complication within 180 days, reason of unexpected visit (tube, anchor or pain related), and tube specific complications (obstruction, pain, luxation, leakage) were taken as outcome measures. Data were obtained from both PACS software and electronic health records.

Results

A total of 247 patients were enrolled (12Fr-pigtail: n = 139 patients and 14Fr-balloon: n = 108 patients). 30-day mortality was very low in both groups and never procedure related. Technical success was 99% in both groups. The average number of complications within 180 days after initial PRG placement was significantly higher in the 12Fr-pigtail group (12Fr-pigtail: 0.93 vs. 14Fr-balloon: 0.64, p = 0.028). Time to first complication within 180 days was significantly longer in the 14Fr-balloon group (12Fr-pigtail: 29 days vs. 14Fr-balloon: 53 days, p = 0.005). In the 14Fr-balloon group, the rate of tube-related complications (luxation and obstruction) was significantly lower compared to 12Fr-pigtail (29% vs. 45%, p = 0.011).

Conclusion

14Fr-balloon gastrostomy tubes have significantly lower (tube-related) complications rates and longer time to first complication compared to 12Fr-pigtail tubes. No procedure-related mortality was observed in either group. Technical success was very high in both groups.

Level of Evidence Level 3, non-controlled retrospective cohort study.

中文翻译：

12Fr-猪尾与 14Fr-球囊经皮放射胃造口术 (PRG)，结果和并发症的回顾性评估；马斯特里赫特大学医学中心的一项研究

目的

回顾性比较 12Fr 尾纤和 14Fr 球囊胃造口管的管和放置相关结果。

材料和方法

2016 年 1 月至 2020 年 6 月期间接受经皮放射学胃造口术 (PRG) 的所有连续患者均纳入这项回顾性单中心分析。所有患者的随访时间为 180 天。将 30 天后的死亡率、技术成功、180 天内首次出现并发症的天数、意外就诊的原因（管、锚或疼痛相关）以及管特定并发症（阻塞、疼痛、脱位、渗漏）作为结果指标。数据来自 PACS 软件和电子健康记录。

结果

共有 247 名患者入组（12Fr-猪尾：n = 139 名患者和 14Fr-气球：n = 108 名患者）。两组的 30 天死亡率都非常低，并且与手术无关。两组的技术成功率为 99%。首次放置 PRG 后 180 天内并发症的平均数量在 12Fr 尾纤组中明显更高（12Fr 尾纤：0.93 对比 14Fr 球囊：0.64，p = 0.028 ）。14Fr 球囊组在 180 天内出现首次并发症的时间明显更长（12Fr 辫子：29 天 vs. 14Fr 球囊：53 天，p = 0.005）。在 14Fr 球囊组中，与 12Fr 尾纤组相比，管相关并发症（脱位和阻塞）的发生率显着降低（29% vs. 45%，p = 0.011）。