Percutaneous radiologic gastrostomy: a 12-year series

Area of Science:

• Interventional Radiology
• Gastroenterology
• Medical Devices

Background:

• Interventional radiology has significantly advanced gastrostomy techniques.
• Evolution from surgical/endoscopic to percutaneous methods.

Purpose of the Study:

• Evaluate the outcomes of a 12-year series of percutaneous gastrostomy procedures.
• Assess the efficacy and safety of T-fastener gastropexy and tube placement.

Main Methods:

• Retrospective analysis of 254 new gastrostomies and 275 replacements (1996-2008).
• Utilized T-fastener gastropexy and tube placement for all procedures.
• Assessed indications, patient selection, procedure duration, and mortality.

Main Results:

• 100% success rate for initial gastrostomies and replacement procedures.
• Low mortality (0.2%) and major complication rate (1.3%) including duodenal lesions and gastric bleeding.
• Minor complications were manageable, with three tube ruptures successfully resolved.

Conclusions:

• Interventional radiologists can effectively manage gastrostomy placement and long-term tube care.
• Percutaneous gastrostomy is a minimally invasive option suitable for high-risk patients.