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Updated: Jul 15, 2026
10:09
Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy
Published on: March 17, 2026
Radiologic gastrostomy
1Department of Radiology, Christie Hospital, Manchester, UK. hans-ulrich.laasch@christie-tr.nwest.nhs.uk
Endoscopy
|April 3, 2007
Summary
Radiologic gastrostomy offers higher success and lower complication rates compared to percutaneous endoscopic gastrostomy (PEG). This technique provides greater tube selection and is suitable for various patient conditions.
Area of Science:
- Gastroenterology
- Interventional Radiology
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral access.
- Limitations of PEG include potential complications and restricted tube choices.
Purpose of the Study:
- To compare radiologic gastrostomy with PEG.
- To highlight the advantages and indications of radiologic gastrostomy.
Main Methods:
- Review of radiologic gastrostomy techniques.
- Comparison with percutaneous endoscopic gastrostomy (PEG).
- Discussion of imaging modalities like fluoroscopy and ultrasound.
Main Results:
- Radiologic gastrostomy demonstrates higher success rates and fewer complications than PEG.
- Fluoroscopy allows clear visualization of stomach and colon anatomy.
- Ultrasound aids in liver localization.
- Radiologic gastrostomy is feasible with oropharyngeal tumors, esophageal strictures/stents, and under local anesthesia.
Conclusions:
- Radiologic gastrostomy is a viable alternative to PEG, offering improved outcomes and flexibility.
- Specific patient populations, such as those with upper GI cancers, may benefit from percutaneously inserted tubes to avoid tumor seeding.
- Increased awareness and accessibility of radiologic techniques are needed.
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