Large-bore gastrostomy feeding tube insertion by a pull technique using a snare

Area of Science:

• Medical Procedures
• Gastroenterology
• Interventional Radiology

Background:

• Gastrostomy tube placement is crucial for nutritional support.
• Traditional methods may have limitations for certain patient anatomies.
• Minimally invasive techniques are continually being developed.

Purpose of the Study:

• To describe a novel fluoroscopic-guided technique for large-bore gastrostomy tube placement.
• To evaluate the feasibility of using a large snare via nasogastric/orogastric tubes for this procedure.

Main Methods:

• Fluoroscopic guidance was employed for all procedures.
• A large-bore gastrostomy tube was placed using a pull technique.
• A large snare was utilized, inserted through a nasogastric or orogastric tube.

Main Results:

• The described technique was successfully applied in a series of three patients.
• Details of the fluoroscopic-guided placement using the snare are presented.

Conclusions:

• This approach offers a potential method for large-bore gastrostomy tube placement.
• Further investigation may be warranted to establish its broader applicability and efficacy.