{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T19:55:52Z","timestamp":1717790152551},"reference-count":15,"publisher":"Scientific Scholar","content-domain":{"domain":["clinicalimagingscience.org"],"crossmark-restriction":true},"short-container-title":["JCIS"],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Objectives:<\/jats:title>\n<jats:p>This study aimed to compare the safety and efficacy of balloon and non-balloon (or dilator) gastrostomy devices in radiologically inserted gastrostomy (RIG) for patients with neurological disease.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Material and Methods:<\/jats:title>\n<jats:p>A retrospective analysis of 152 patients was conducted at a tertiary care hospital from July 2017 to September 2020. 104 and 48 patients were included in the balloon and non-balloon groups, respectively. The frequency of complications per specific neurological indication as well as the breakdown of the different complications pertaining to each indication was recorded for analysis. The recovery time, fluoroscopy time, contrast volume, peak radiation, and pain management dosages for each procedure were all reviewed to evaluate for statistical differences between the balloon and non-balloon groups. An adjusted model odds ratio (OR) was conducted to evaluate how each of the variables (type of gastrostomy tube, body mass index [BMI], age, and gender) affected the frequency of complications within our cohort.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results:<\/jats:title>\n<jats:p>This study included 152 patients, with an average age of 65.17 years (interquartile range [IQR] = 12.66) and an average BMI of 26.97 (IQR = 7.19). The majority of patients were male (71.1%). The most common indication for the procedure was stroke (24.3%), followed by post-intubation dysphagia (16.4%) and intracranial hemorrhage (11.8%). Amyotrophic lateral sclerosis (ALS) and altered mental status had a similar prevalence at 9.9%. The overall complication rate was 33.8%, overall mortality rate 3.3%, 30-day mortality rate of 2.6%, and no other major complications according to CIRSE criteria. Notably, patients with neurodegenerative disorders exhibited comparable rates of minor complications: 33.3% in ALS (5\/15 patients), 50% in myasthenia gravis (1\/2 patients), and 100% in muscular dystrophy (1\/1 patient). The study compared two groups: the balloon group (104 patients) and the dilator group (48 patients). The balloon group received significantly lower preoperative sedation in the form of fentanyl (Avg = 4.46 min vs. 6.54 min, <jats:italic>P<\/jats:italic> = 0.287). The balloon group had shorter fluoroscopy time, lower radiation exposure dose, and shorter operating time compared to the dilator group, though not statistically significant. In the logistic regression model, there was no statistical difference in complication rates between the dilator and balloon groups. BMI, age, and gender did not significantly affect minor complication rates.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>RIG tube insertions may serve as a valuable, alternative approach in providing enteral support in patients with neurological disease.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/jcis_78_2023","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T13:25:02Z","timestamp":1698758702000},"page":"35","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Radiologically inserted gastrostomy tube in neurological disease: A retrospective study"],"prefix":"10.25259","volume":"13","author":[{"given":"Brittany Marie","family":"Zaita","sequence":"first","affiliation":[{"name":"Department of Biomedical Science, Touro College of Osteopathic Medicine, Middletown, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abheek","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Maryland School of Medicine, Baltimore, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Biomedical Science, Touro College of Osteopathic Medicine, Middletown, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aislynn","family":"Raymond","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Maryland School of Medicine, Baltimore, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanvir","family":"Agnihotri","sequence":"additional","affiliation":[{"name":"Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabeel M.","family":"Akhter","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mercy Medical Center, Baltimore, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"key":"10.25259\/JCIS_78_2023\/ref-1","doi-asserted-by":"publisher","first-page":"383","DOI":"10.3748\/wjg.v26.i4.383","article-title":"Image guided percutaneous gastrostomy catheter placement: How we do it safely and efficiently","volume":"26","author":"Partovi","year":"2020","journal-title":"World J Gastroenterol"},{"key":"10.25259\/JCIS_78_2023\/ref-2","doi-asserted-by":"publisher","first-page":"270","DOI":"10.5946\/ce.2016.106","article-title":"Percutaneous endoscopic gastrostomy tube insertion in neurodegenerative disease: A retrospective study and literature 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and weaning?","volume":"47","author":"Chong","year":"2006","journal-title":"Singapore Med J"},{"key":"10.25259\/JCIS_78_2023\/ref-12","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1177\/14574969231156354","article-title":"A randomized trial comparing percutaneous endoscopic gastrostomy (PEG) and radiologically inserted percutaneous gastrostomy (RIG)","volume":"112","author":"Sundbom","year":"2023","journal-title":"Scand J Surg"},{"key":"10.25259\/JCIS_78_2023\/ref-13","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1097\/MCG.0000000000000624","article-title":"PEG Insertion in patients with dementia does not improve nutritional status and has worse outcomes as compared with PEG insertion for other indications","volume":"51","author":"Ayman","year":"2017","journal-title":"J Clin Gastroenterol"},{"key":"10.25259\/JCIS_78_2023\/ref-14","article-title":"2023 coding & payment quick reference. Select enteral feeding procedures","author":"Boston Scientific","year":"2023","journal-title":"BostonScientific"},{"key":"10.25259\/JCIS_78_2023\/ref-15","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/S0022-510X(01)00614-1","article-title":"Incidence and predictors of PEG placement in ALS\/MND","volume":"191","author":"Albert","year":"2001","journal-title":"J Neurol Sci"}],"container-title":["Journal of Clinical Imaging Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/clinicalimagingscience.org\/radiologically-inserted-gastrostomy-tube-in-neurological-disease-a-retrospective-study\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/clinicalimagingscience.org\/radiologically-inserted-gastrostomy-tube-in-neurological-disease-a-retrospective-study\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T13:25:06Z","timestamp":1698758706000},"score":1,"resource":{"primary":{"URL":"https:\/\/clinicalimagingscience.org\/radiologically-inserted-gastrostomy-tube-in-neurological-disease-a-retrospective-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,30]]},"references-count":15,"alternative-id":["10.25259\/JCIS_78_2023"],"URL":"https:\/\/doi.org\/10.25259\/jcis_78_2023","relation":{},"ISSN":["2156-5597","2156-7514"],"issn-type":[{"value":"2156-5597","type":"electronic"},{"value":"2156-7514","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10,30]]},"article-number":"35"}}