Abstract
Retrograde radiologic gastrostomy is one of several techniques used for placing a gastrostomy and is a common technique used in children. The use of a retention anchor suture (RAS) is an important component of this procedure. This pictorial essay explores the normal course and passage of the RAS, as well as abnormal migration, various complications and the implications of the RAS with regard to MRI safety.
Similar content being viewed by others
References
Kim JW, Song HY, Kim KR et al (2008) The one-anchor technique of gastropexy for percutaneous radiologic gastrostomy: results of 248 consecutive procedures. J Vasc Interv Radiol 19:1048–1053
Chait PG, Weinberg J, Connolly BL et al (1996) Retrograde percutaneous gastrostomy and gastrojejunostomy in 505 children: a 4 1/2-year experience. Radiology 201:691–695
Connolly B, Krishnamurthy G, Amaral J (2010) Upper gastrointestinal access in children: techniques and outcomes. Tech Vasc Interv Radiol 13:222–228
Dewald CL, Hiette PO, Sewall LE et al (1999) Percutaneous gastrostomy and gastrojejunostomy with gastropexy: experience in 701 procedures. Radiology 211:651–656
de Baere T, Chapot R, Kuoch V et al (1999) Percutaneous gastrostomy with fluoroscopic guidance: single-center experience in 500 consecutive cancer patients. Radiology 210:651–654
Rossi UG, Petrocelli F, Seitun S et al (2012) Percutaneous radiological gastrostomy: single-puncture double-anchor technique. Radiol Med. doi 10.1007/s11547-012-0885-7 [Epub ahead of print 22 October]
Brown AS, Mueller PR, Ferrucci JT Jr (1986) Controlled percutaneous gastrostomy: nylon T-fastener for fixation of the anterior gastric wall. Radiology 158:543–545
Chan SC, Ko SF, Ng SH et al (2004) Fluoroscopically guided percutaneous gastrostomy with modified gastropexy and a large-bore balloon-retained catheter in patients with head and neck tumors. Acta Radiol 45:130–135
Funaki B, Zaleski GX, Lorenz J et al (2000) Radiologic gastrostomy placement: pigtail-versus mushroom-retained catheters. AJR Am J Roentgenol 175:375–379
Foster A, Given M, Thornton E et al (2009) Removal of T-fasteners 2 days after gastrostomy is feasible. Cardiovasc Intervent Radiol 32:317–319
Cope C (1986) Suture anchor for visceral drainage. AJR Am J Roentgenol 146:160–162
Friedman JN, Ahmed S, Connolly B et al (2004) Complications associated with image-guided gastrostomy and gastrojejunostomy tubes in children. Pediatrics 114:458–461
Conflicts of interest
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Narayanam, S., de Oliveira, V., Krishnamurthy, G. et al. Fate, complications and MRI implications of retention anchor suture placed during gastrostomy in children. Pediatr Radiol 43, 1009–1016 (2013). https://doi.org/10.1007/s00247-013-2627-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-013-2627-z