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Published on: March 17, 2026
Percutaneous gastrostomy and gastrojejunostomy
Stuart M Lyon1, Diane M Pascoe
1Interventional Radiologist, Alfred Hospital, Melbourne, Australia.
Seminars in Interventional Radiology
|February 19, 2011
Summary
Percutaneous radiological gastrostomy offers a safe and effective alternative to endoscopic placement for enteral nutrition. This minimally invasive technique shows comparable success rates with potentially lower complication risks.
Area of Science:
- Medical Imaging and Interventional Radiology
- Gastroenterology
- Surgical Procedures
Background:
- Gastrostomy is crucial for enteral nutrition in patients with inadequate oral intake, often due to neurological dysphagia.
- Percutaneous endoscopic gastrostomy is the standard, but surgical and radiological methods also exist.
- Interventional radiology offers a fluoroscopically guided approach to gastrostomy placement.
Purpose of the Study:
- To describe a technique for percutaneous radiological gastrostomy (PRG) catheter placement.
- To discuss variations for difficult cases, indications, contraindications, and complication rates.
- To compare PRG with traditional gastrostomy methods.
Main Methods:
- Detailed description of the percutaneous radiological gastrostomy technique.
- Discussion of procedural variations for challenging patient anatomies or conditions.
- Review of indications, contraindications, and complication data.
Main Results:
- Percutaneous radiological gastrostomy demonstrates success rates comparable to endoscopic methods.
- PRG may offer lower morbidity and mortality rates compared to endoscopic or surgical approaches.
- PRG is a viable option for patients where endoscopic placement is difficult or contraindicated (e.g., head/neck malignancies).
Conclusions:
- Percutaneous radiological gastrostomy is an effective and safe procedure for enteral nutrition.
- It presents advantages in specific patient populations and potentially lower complication rates.
- Limited availability of interventional radiology resources is a key factor affecting its widespread adoption.
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