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T-Fastener Migration after Percutaneous Gastropexy for Transgastric Enteral Tube Insertion

机译：经胃穿刺术经胃穿刺入肠胃管后T-紧固件的迁移

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Background/AimsTo determine the prevalence and time-course of t-fastener migration after gastropexy deployment.MethodsWe 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.ResultsA 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.ConclusionsFollowing 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.
机译：背景/目的为了确定胃固定术部署后T型紧固件迁移的发生率和时程。金伯利-克拉克（Kimberly-Clark）。在201例患者中，有71例（男性41例，女性30例;平均年龄56岁）接受了随后的腹部CT成像。在插入管后进行的每次CT扫描中，回顾性记录每个t型紧固件的位置和相关结果。结果在71例手术中共部署了153个t型紧固件，随后进行了CT随访。在短期内（部署后4周内），有5.1％的T型紧固件已经脱落并且不再存在。腔内或胃壁内占59.5％; 35.5％的患者位于前腹壁肌肉组织或皮下。在长期（> 3个月）中，有48.6％的T型扣件脱落并且不再存在，25.0％的管腔内或胃壁内，26.4％的前腹壁肌肉组织或皮下。没有发现与t型扣件相关的并发症，如脓肿，积液或瘘管。结论在经腹吸取经皮经胃饲管放置后，t型扣件经常在插管后迅速移入腹壁。因此，最近的T型紧固件部署不能保证完整的胃口。

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