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Your search keyword '"Hahn, P.F."' showing total 34 results
Start Over Author "Hahn, P.F." Publication Type Academic Journals
34 results on '"Hahn, P.F."'

11. Percutaneous radiologic gastrostomygastrojejunostomy using "push technique" and T-fastener gastropexy for enteral nourishment in patients with amyotrophic lateral sclerosis: a large cohort study.

Author

Kambadakone Ramesh, A., Hahn, P.F., Arellano, R., Mueller, P., and Gervais, D.A.

Abstract

Purpose: The purpose of our study is to assess the efficacy and safety of percutaneous radiologic gastrostomy/gastrojejunostomy performed using “push” technique and T-fastener gastropexy in providing enteral nourishment in amyotrophic lateral sclerosis patients with severe motor impairment. Materials and Methods: In this retrospective study, we included 250 ALS patients (130M: 120F, mean age-59 yrs, age range 20-87yrs) who underwent percutaneous gastrostomy/gastrojejunostomy tube placement using “push” technique and T-fastener gastropexy over a 10-year period. The procedures were performed using a combined fluoroscopy and ultrasound or CT guidance. The electronic medical records and imaging studies in these patients were retrospectively evaluated for type of sedation, duration of patient hospital stay, procedure success rate, complications, no.of re-interventions and impact on patient’s nutritional status Results: The technical success rate for percutaneous radiologic gastrostomy/gastrojejunostomy using the push technique was 98.5% (246/250). In the 250 patients, 240 gastrostomies (96%) and 10 gastrojejunostomies (4%) were performed using fluoroscopic (n=247) or CT guidance (n=3). The presence of severe motor impairment necessitated general anesthesia in 243 patients (97.2%). The average hospital stay for the patients for the percutaneous procedure was 2.5 days. The procedure related complications (major/minor) were 15/250 (6%) including bleeding, infection, aspiration pneumonia, pneumoperitoneum. Revisions of the gastrostomy/gastrojejunostomy tube were required in 60 occasions (24%) for tube dislodgement, leakage and clogging. Conclusion: Percutaneous placement of gastrostomy and gastrojejunostomy catheters using the “Push” technique is a safe and effective procedure for enteral nourishment in ALS patients who form a complex subset of patients due to severe motor function impairment. [Copyright &y& Elsevier]

Published
2014
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