Abstract:
Objective To investigate the incidence of bleeding after X-ray-guided percutaneous fluoroscopic gastrostomy (PFG) and and analyze the risk factors associated with postoperative bleeding.
Methods The clinical data of 221 hospitalized patients who underwent PFG from October 2015 to December 2019 were retrospectively analyzed. The gender, age, etiology, nutritional status, the relative position of stomach, intestine and liver relative location shown by CT before the operation, the location of puncture external and internal orifice, and whether gelatin sponge pressure bandage after operation were reviewed, and the relationships between them and postoperative bleeding were analyzed.
Results There were 31 cases of postoperative fistula bleeding in 221 patients, the incidence was 14.03%. The nutritional status of the patients, the location of the external and internal puncture sites, whether to use gelatin sponge dressing after the operation, and the experience of the operator were the factors influencing the postoperative bleeding of PFG (P < 0.05).
Conclusions The risk factors of postoperative bleeding include scaphoid abdomen, the external puncture site is in the middle of rectus abdominis, the internal puncture site is in the middle of the gastric body, pressure bandage without gelatin sponge after the operation, and operator proceeded less than 50 cases of PFG, indicating that postoperative bleeding risk should be carefully assessed and corresponding operation plan should be made before the operation and gelatin sponge dressing could reduce the incidence of postoperative bleeding.
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