1887
Volume 2000, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Purpose: To assess the local experience with the percutaneous fluoroscopic gastrostomy (PG) with regard to indications, outcome, limitations and complications of the procedure.

Method: Retrospective analysis of 33 patients in whom PG was requested and performed over a period of 6 years.

Results: All 33 patients had successful catheter placement. Six patients had their catheters advanced to the jejunum (transgastric jejunostomy). Two patients had PG after failed endoscopic gastrostomy (EG). No major complications were encountered within the first 30 days. Minor complications were noted in seven patients (21%). Three patients (9%) had local infection at the stoma. The other four patients (12%) had catheter occlusion (use-related complications) that required catheter change. Longterm follow-up in eight patients showed a pericatheter leak at the stoma in three patients that was managed by change and step-up in the feeding catheter; French size. There was no 30-day mortality.

Conclusion: The results indicate that PG is a safe and effective method for enteral feeding. It is useful for short and long-term feeding. Failed EG can be considered an indication for PG.

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2000-12-01
2024-03-28
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References

  1. Raw as M, Salman K. Non-endoscopic percutaneous gastrojejunostomy for enteral feeding: the first Saudi Arabian Experience. Saudi Medical Journal. 1989; 10:1:3941.
    [Google Scholar]
  2. Preshaw RM. A percutaneous method for inserting a feeding gastrostomy tube. Surg.Gynecal Obstet. 1981; 152::658660.
    [Google Scholar]
  3. Wills JS, Ogles JT. Percutaneous gastrostomy. Radiology. 1983; 149::449453.
    [Google Scholar]
  4. Tao H, Gilles RP. Percutaneous feeding gastrostomy. Am.J.Roent. 1983; 141::793794.
    [Google Scholar]
  5. Ho CS. Percutaneous gastrostomy for jejunal feeding. Radiology. 1983; 149::595596.
    [Google Scholar]
  6. HO CS, Gray RR, Goldfinger M, Rosen IE, McPerhson R. Percutaneous gastrostomy for enteral feeding. Radiology. 1985; 156::349351.
    [Google Scholar]
  7. Stuart D, Bell MB, Eamon A, Carmody MB, Eugene Y, Yeung MB, Wendy A, Thurston MD, Martin E, Simons MD, Chia-Sing Ho MB. Percutaneous gastrostomy and gastrojejunostomy; additional experience in 519 procedures. Radiology. 1995; 194::817820.
    [Google Scholar]
  8. Thierry de Baere MD, Rene Chapot MD, Viseth Kroch MD, Patrick Chevallier MD, Jean Paul Delille MD, Christian Domange MD, Guy Schwaab MD, Alain Roche MD, Radiology. 1999; 210::651654.
    [Google Scholar]
  9. Halkier BK, Ho CS, Yee ACN. Percutaneous feeding gastrostomy with the Soldinger technique review of 252 patients. Radiology. 1989; 171::359362.
    [Google Scholar]
  10. O'Keefe FN, Carrasco CH, Charnsangavej C, Richli WR, Wallace S, Freedman RS. Percutaneous drainage and feeding gastrostomy in 100 patients. Radiology. 1989; 172::341343.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): enteral feedingfluoroscopygastrostomy and Percutaneous
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