Abstract：
AIM:To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS:Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of 200 PEGs reviewed. A fluoroscopy-guided technique was modified to place 20 F over-the-wire PEG-tubes in 60 consecutive patients. RESULTS:Technical success was 98%, 100% and 100% for PEG, RIG and PIG, respectively. Antibiotic prophylaxis significantly reduced stoma infection for orally placed tubes (p=0.02). Ten out of 50 (20%) small-bore RIG tubes blocked. Replacement tubes were required in six out of 50 PEGs (12%), 10 out of 50 RIGs (20%), but no PIGs (p<0.001). No procedure-related complications occurred. The function of radiologically placed tubes was significantly improved with the larger PIG (p<0.001), with similar wound infection rates. PIG was successful in 24 patients where endoscopic insertion could not be performed. Significant endoscopic abnormalities were found in 42 out of 200 PEG patients (21%), all related to peptic disease. Insignificant pathology was found in 8.5%. CONCLUSION:PIG combines advantages of both traditional methods with a higher success and lower re-intervention rate. Endoscopy is unlikely to detect clinically relevant pathology other than peptic disease. PIG is a very effective gastrostomy method; it has better long-term results than RIG and is successful where conventional PEG has failed.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Laasch HU,Wilbraham L,Bullen K,Marriott A,Lawrance JA,Johnson RJ,Lee SH,England RE,Gamble GE,Martin DFdoi
10.1016/s0009-9260(03)00058-8subject
Has Abstractpub_date
2003-05-01 00:00:00pages
398-405issue
5eissn
0009-9260issn
1365-229Xpii
S0009926003000588journal_volume
58pub_type
杂志文章,多中心研究abstract：:Needle core biopsy is considered the histological diagnostic method of choice for screen-detected breast lesions. Although the majority are definitively diagnosed as normal, benign, or malignant, approximately 7% are categorised as B3, of uncertain malignant potential. These include a wide range of lesions with differ...
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pub_type： 杂志文章,实务指引
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journal_title：Clinical radiology
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doi：10.1016/s0009-9260(97)80279-6
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pub_type： 临床试验,杂志文章,随机对照试验
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doi：10.1016/s0009-9260(86)80321-x
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pub_type： 杂志文章
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更新日期：2014-04-01 00:00:00
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pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1979-07-01 00:00:00
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更新日期：2019-10-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(83)80168-8
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pub_type： 杂志文章
doi：10.1016/s0009-9260(05)80383-6
更新日期：1992-11-01 00:00:00
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pub_type： 杂志文章,评审
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journal_title：Clinical radiology
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更新日期：2019-12-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
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pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Clinical radiology
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journal_title：Clinical radiology
pub_type： 杂志文章,评审
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journal_title：Clinical radiology
pub_type： 杂志文章
doi：10.1016/s0009-9260(78)80079-8
更新日期：1978-05-01 00:00:00
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journal_title：Clinical radiology
pub_type： 杂志文章
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更新日期：1989-01-01 00:00:00
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journal_title：Clinical radiology
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journal_title：Clinical radiology
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更新日期：2002-08-01 00:00:00
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更新日期：2015-07-01 00:00:00
