Image guided percutaneous gastrostomy catheter placement: How we do it safely and efficiently

Area of Science:

• Medical procedures
• Gastroenterology
• Interventional Radiology

Background:

• Gastrostomy tubes provide effective long-term feeding access.
• Percutaneous interventional radiologic gastrostomy (PIRG) is a preferred placement method.
• Optimal PIRG technique selection lacks robust evidence, leading to practice variation.

Purpose of the Study:

• To present the "push" PIRG technique used at a quaternary academic institution.
• To review existing literature on PIRG techniques.
• To discuss optimal PIRG technique selection and encourage comparative research.

Main Methods:

• Detailed description of the "push" PIRG technique.
• Comprehensive literature review of PIRG methods.
• Discussion of institutional experience and evidence-based selection criteria.

Main Results:

• The "push" PIRG technique is presented with institutional experience.
• Literature review highlights various PIRG methods but limited comparative data.
• Significant variation in institutional PIRG approaches exists.

Conclusions:

• The "push" PIRG technique is a viable option.
• Further comparative studies are needed to establish the most optimal PIRG technique.
• Standardization of PIRG techniques may improve patient outcomes.