Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose
The purpose of this study was to determine whether retention of a post-pyloric Dobhoff tube (DHT) in position to serve as a visual guide through the pylorus during gastrojejunostomy (GJ) tube placement results in a reduction in fluoroscopy time, procedure time, and estimated radiation dose. A retros...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2023-09-01
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| Series: | Diagnostic and Interventional Radiology |
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| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/effect-of-post-pyloric-dobhoff-tube-retention-duri/57983
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| _version_ | 1797691465186410496 |
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| author | Tyler S. Thompson Coulter N. Small Hugh Davis Michael Lazarowicz Jeffrey Vogel Robert E. Heithaus |
| author_facet | Tyler S. Thompson Coulter N. Small Hugh Davis Michael Lazarowicz Jeffrey Vogel Robert E. Heithaus |
| author_sort | Tyler S. Thompson |
| collection | DOAJ |
| description | The purpose of this study was to determine whether retention of a post-pyloric Dobhoff tube (DHT) in position to serve as a visual guide through the pylorus during gastrojejunostomy (GJ) tube placement results in a reduction in fluoroscopy time, procedure time, and estimated radiation dose. A retrospective study evaluated patients who underwent GJ tube placement or gastric to GJ conversion from January 1, 2017, to April 1, 2021. Demographic and procedural data were collected, and results were evaluated using descriptive statistics and hypothesis testing through an unpaired Student’s t-test. Of the 71 GJ tube placements included for analysis, 12 patients underwent placement with a post-pyloric DHT in position, and 59 patients underwent placement without a post-pyloric DHT in position. The mean fluoroscopy time and estimated radiation dose were significantly reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those without (7.08 min vs. 11.02 min, P = 0.004; 123.12 mGy vs. 255.19 mGy, P = 0.015, respectively). The mean total procedure time was also reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those who had no post-pyloric DHT, but this finding lacked statistical significance (18.55 min vs. 23.15 min; P = 0.09). Post-pyloric DHT retention can be utilized during GJ tube placement to reduce radiation exposure to both the patient and interventionalist. |
| first_indexed | 2024-03-12T02:13:42Z |
| format | Article |
| id | doaj.art-fa29e4f0a9f642f7a24653e3f9f9dca6 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:13:42Z |
| publishDate | 2023-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-fa29e4f0a9f642f7a24653e3f9f9dca62023-09-06T11:33:40ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122023-09-0129571071210.4274/dir.2022.22147313049054Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation doseTyler S. Thompson0Coulter N. Small1Hugh Davis2Michael Lazarowicz3Jeffrey Vogel4Robert E. Heithaus5 Department of Radiology, College of Medicine, University of Florida, Gainesville, FL, USA Department of Radiology, College of Medicine, University of Florida, Gainesville, FL, USA Division of Interventional Radiology, University of Florida, Gainesville, FL, USA Division of Interventional Radiology, University of Florida, Gainesville, FL, USA Division of Interventional Radiology, University of Florida, Gainesville, FL, USA Department of Radiology, College of Medicine, University of Florida, Gainesville, FL, USA The purpose of this study was to determine whether retention of a post-pyloric Dobhoff tube (DHT) in position to serve as a visual guide through the pylorus during gastrojejunostomy (GJ) tube placement results in a reduction in fluoroscopy time, procedure time, and estimated radiation dose. A retrospective study evaluated patients who underwent GJ tube placement or gastric to GJ conversion from January 1, 2017, to April 1, 2021. Demographic and procedural data were collected, and results were evaluated using descriptive statistics and hypothesis testing through an unpaired Student’s t-test. Of the 71 GJ tube placements included for analysis, 12 patients underwent placement with a post-pyloric DHT in position, and 59 patients underwent placement without a post-pyloric DHT in position. The mean fluoroscopy time and estimated radiation dose were significantly reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those without (7.08 min vs. 11.02 min, P = 0.004; 123.12 mGy vs. 255.19 mGy, P = 0.015, respectively). The mean total procedure time was also reduced in patients who underwent GJ tube placement with a post-pyloric DHT in position compared with those who had no post-pyloric DHT, but this finding lacked statistical significance (18.55 min vs. 23.15 min; P = 0.09). Post-pyloric DHT retention can be utilized during GJ tube placement to reduce radiation exposure to both the patient and interventionalist. http://www.dirjournal.org/archives/archive-detail/article-preview/effect-of-post-pyloric-dobhoff-tube-retention-duri/57983 dobhoff tubeflouroscopygastrojejunostomyradiationtime |
| spellingShingle | Tyler S. Thompson Coulter N. Small Hugh Davis Michael Lazarowicz Jeffrey Vogel Robert E. Heithaus Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose Diagnostic and Interventional Radiology dobhoff tube flouroscopy gastrojejunostomy radiation time |
| title | Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose |
| title_full | Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose |
| title_fullStr | Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose |
| title_full_unstemmed | Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose |
| title_short | Effect of post-pyloric Dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose |
| title_sort | effect of post pyloric dobhoff tube retention during gastrojejunostomy for reduction of fluoroscopic time and radiation dose |
| topic | dobhoff tube flouroscopy gastrojejunostomy radiation time |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/effect-of-post-pyloric-dobhoff-tube-retention-duri/57983
|
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