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[Percutaneous gastrostomy].

G Cozzi1, M Bellomi, A Severini

  • 1Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano.

La Radiologia Medica
|November 1, 1992
PubMed
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Percutaneous gastrostomy offers a safe and effective alternative for enteral feeding and drainage when upper GI tract stenosis is present. This minimally invasive procedure showed no major complications in 17 cases, providing a vital option when surgery is not feasible.

Area of Science:

  • Gastroenterology
  • Interventional Radiology

Background:

  • Percutaneous gastrostomy has emerged as a valuable alternative to surgical and endoscopic interventions.
  • It serves dual purposes: facilitating enteral feeding and draining gastrointestinal secretions or fluid collections.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous gastrostomy and jejunostomy procedures.
  • To assess their role in managing upper gastrointestinal tract conditions requiring enteral access or drainage.

Main Methods:

  • A retrospective review of 17 percutaneous gastrostomy and jejunostomy procedures performed between January 1990 and January 1992.
  • Procedures were conducted under local anesthesia, primarily using specialized gastrostomy kits.

Main Results:

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  • Catheter insertion was successful in all patients.
  • Percutaneous gastrostomy enabled long-term enteral feeding in 12 patients and drainage in 3 patients.
  • No major complications were reported across the 17 procedures.

Conclusions:

  • Percutaneous gastrostomy is a safe and effective method for enteral feeding, particularly in patients with upper GI tract stenosis or swallowing disorders.
  • It represents the only non-surgical alternative for patients with severe upper GI tract stenoses.
  • The procedure is also valuable for palliative drainage of gastroenteric secretions.