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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

Fluoroscopy-guided placement of pull-type gastrostomy tubes; a single-center experience (p.2292-7)

Fluoroscopy-guided placement of pull-type gastrostomy tubes; a single-center experience (p.2292-7)

Hakan Cebeci1, Abidin Kilincer1, Mustafa Alper Bozkurt1, Alaaddin Nayman1, Bayram Colak2, Serdar Yormaz2, Ilhan Ece2
1Department of Radiology, Faculty of Medicine, Selcuk University, Konya, Turkey
2Department of General Surgery, Faculty of Medicine, Selcuk University, Konya, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: Gastrostomy tubes provide nutritional access in patients with impaired oral intake. Gastrostomy tubes can be inserted with endoscopy or fluoroscopy assistance. The aim of this study was to describe the clinical features and complications of fluoroscopy-guided gastrostomy tube insertion and to compare these complications with those of the endoscopy-assisted gastrostomy technique.
Material and Methods: A retrospective data analysis was performed for gastrostomy tube placement procedures. Patients’ age, gender, medical, neurological, and surgical diseases, major and minor complications, mortality rates, and length of hospital stay were compared between fluoroscopy-guided and endoscopy-guided pull-type gastrostomy tube placement.
Results: The medical records of 92 patients (60 male, 32 female; mean age ± SD: 63.1 ± 15.8 years; range: 24-92 years) who underwent endoscopy-guided (n=50) or fluoroscopy-guided (n=42) gastrostomy tube placement were reviewed. The indications for gastrostomy tube insertion mainly included neurological disease (n=39, 78%), such as cerebrovascular accident (n=22, 44%), in the endoscopy group and surgical disease (n=33, 73.3%), such as head and neck cancer (n=27, 60%), in the fluoroscopy group. There were no mortalities related to gastrostomy tube insertion in either group. There was no significant difference between the major complication rates of the two groups (P=0.62). The minor complication rate was higher in the endoscopy group (P=0.03). One patient in the fluoroscopy group required surgical intervention to treat a complication related to gastrostomy insertion.
Conclusion: Gastrostomy tube insertion via both endoscopy and fluoroscopy guidance provides a safe route for nutrition delivery. Fluoroscopy-guided placement of pull-type gastrostomy tubes is a reliable technique and should be the first choice for gastrostomy tube placement, particularly for patients with head and neck tumors in whom endoscopic placement is technically difficult.

Keywords: Complication; endoscopy; fluoroscopy; pull-type gastrostomy tube 

 

 

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doi: 10.5455/annalsmedres.2020.05.444 

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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