Objectives: To evaluate the safety and efficacy of transhepatic cardia-gastric fundus puncture (TCFP) for insufflation for CT-guided percutaneous gastrostomy (CPG).
Methods: The clinical data of 38 patients who underwent TCFP for insufflation and 161 patients who underwent percutaneous gastric body for insufflation at a single center were retrospectively analyzed. The operative time, success rate, complication rate, overall procedure time, and incidence of complications within 3 months were collected.
Results: The success rate of insufflation was 100%, and no serious complications occurred during percutaneous gastric insufflation. The average time for insufflation via TCFP was 9.60 ± 6.62 min, and that via gastric body puncture was 8.71 ± 71.8 min, with no significant difference between the two (p = 0.485). The overall duration of gastrostomy in the TCFP group was 32.16 ± 10.27 min and 33.94 ± 13.82 min in the gastric body group, with no significant difference (p = 0.456). The incidence of submucosal air spread was 0% in the TCFP group and 9.9% in the gastric body group, with significant difference (p = 0.045). The complication rates following insufflation via TCFP and via gastric body puncture were 18.4% and 21.7%, respectively, with no significant difference between the two groups (p = 0.652). The perioperative pain score was 2 after insufflation via TCFP and via gastric body puncture, with no significant difference (p = 0.119). The overall mortality rate was 0 in the first postoperative month, with a 3-month mortality rate of 5% (10/199). The surviving patients showed a significant increase in weight from 51.81 ± 8.52 kg to 52.52 ± 9.39 kg at 3 months postoperatively (p = 0.009).
Conclusions: TCFP for insufflation is safe and effective, with a 100% success rate and no increased risk of complications. The choice of procedure should be based on the patient's specific condition and the physician's experience.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1186/s40001-025-02426-5 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The effects of intragastric balloons on metabolic and inflammatory parameters in obese patients.
Endokrynol Pol
March 2025
Department of General and Bariatric Surgery and Emergency Medicine in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Katowice, Poland.
Introduction: The prevalence of obesity worldwide has rapidly increased. One of the methods for treating obesity is endoscopic intragastric balloon (IGB) implantation. The aim of this study was to evaluate the effects of carbohydrate homeostasis and select cytokines in obese patients with a body mass index (BMI) ≥ 40 kg/m².
View Article and Find Full Text PDF[Abdominal parietal abscess secondary to the absorption of a knife by a mental patient, Treichville University Hospital, Côte d'Ivoire].
Med Trop Sante Int
December 2024
Service de chirurgie générale, digestive et endocrinienne du Centre hospitalier universitaire (CHU) de Treichville, Abidjan, Côte d'Ivoire.
Case Report: We present the successful management of the consequences of voluntary knife ingestion in a 24-year-old male with undocumented psychiatric disorders. The patient was admitted to the emergency department with a fistulized epigastric skin abscess, with the tip of a knife protruding from it. This extraordinary case involved the migration of an ingested knife, which perforated the stomach and externalized through an epigastric abscess.
View Article and Find Full Text PDFEndoscopic submucosal dissection (ESD), the standard treatment for early gastric cancer, typically results in homogeneous flat scars. However, in some cases, polypoid nodule scars (PNS) may develop, complicating the cancer recurrence assessment. This case report describes a 60-year-old man with a history of infection who underwent two ESD procedures: first for early antral gastric cancer and then for gastric body adenoma.
View Article and Find Full Text PDFMorphological covariates of the ontogenetic shift from nauplii to copepodite prey in larval fish.
J Fish Biol
March 2025
Northwest Atlantic Fisheries Centre, Fisheries and Oceans Canada, St. John's, Newfoundland Island, Canada.
Larval fish are active planktonic predators, with many species feeding initially on copepod nauplii and gradually shifting their selection to copepodites. This study evaluated whether it is possible to develop a general widely applicable empirical model to describe the transition from feeding on copepod nauplii to copepodites in relation to body length, maxilla length and eye diameter. The study also evaluated whether the switch to copepodites is linked to what prey are in the stomach or which copepodite species are replacing nauplii in the diet was also considered.
View Article and Find Full Text PDFThe feeding mode effect: influence on particle ingestion by four invertebrates from Sub-Antarctic and Antarctic waters.
Environ Sci Pollut Res Int
March 2025
Departamento de Zoología, Facultad de Ciencias Naturales y Oceanográficas, Universidad de Concepción, Concepción, Chile.
Microplastic (MP) pollution is a significant threat to marine environments not only due to its widespread presence but also because of the alarming emergence of ingestion records among benthic organisms. In this study, MP prevalence was assessed in the stomach of the crustaceans Lithodes santolla and Grimothea gregaria and the gastropods Nacella deaurata and N. concinna.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!