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

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 s...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2023-09, Vol.46 (9), p.1231-1237
Main Authors: Dams, Glenn, Knapen, Robrecht R. M. M., Korenblik, Remon, van Dam, Ronald M., de Haan, Michiel W., van der Leij, Christiaan
Format: Article
Language:English
Subjects:
Balloon treatment
Balloons
Cardiology
Clinical Investigation
Complications
Electronic health records
Electronic medical records
Health care facilities
Imaging
Medicine
Medicine & Public Health
Mortality
Non-Vascular Interventions
Nuclear Medicine
Ostomy
Pain
Placement
Radiology
Success
Ultrasound
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Summary: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.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-023-03527-6