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논문 기본 정보

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학술저널
저자정보
Chen Xu (Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical University) Zheng-Qiang Yang (Department of Interventional Therapy National Cancer Center National Clinical Research Center for C) Sheng Liu (Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical University) Wei Yang (Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical University) Hai-Bin Shi (Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical University) Wei-Zhong Zhou (Department of Interventional Radiology The First Affiliated Hospital of Nanjing Medical University)
저널정보
소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제10권 제2호
발행연도
2021.1
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72 - 76 (5page)

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Background: Percutaneous radiologic gastrostomy (PRG) was considered as an alternative technique for long-term enteral nutrition, and the current study is aimed to evaluate the feasibility and safety of this technique in patients with amyotrophic lateral sclerosis (ALS) at a single medical center. Methods: From July 2017 to October 2020, a total of 14 patients underwent PRG with ALS were included in this retrospective study with a median age of 64.0 years, and 78.6% were male. The procedure comprised a dilation of the stomach via a nasogastric catheter, followed by puncture and gastrostomy tube placement under fluoroscopic guidance. The technical success rate and clinical outcomes were recorded over 3 months following the procedure. Results: The technical success rate was 100%. During the follow-up period, minor complications were reported in 2 of patients (14.3%) including superficial skin infection and early tube block. Neither major complications nor mortality were observed. Body mass index of the patients increased significantly from 16.4 ± 2.1 kg/m2 to 17.1 ± 2.0 kg/m2 (t = ?13.77; P < 0.001), and the albumin level increased significantly from 37.5 ± 2.3 g/L to 41.8 ± 1.6 g/L (t = ?8.82, P < 0.001). Conclusion: PRG is a relatively safe and effective method for ALS patients, and deserves widespread clinical acceptance.

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