Temporary percutaneous radiologic gastrojejunostomy with single gastropexy

Area of Science:

• Interventional Radiology
• Gastroenterology
• Surgical Procedures

Background:

• Limited data exists on the indications and clinical effectiveness of temporary percutaneous radiologic gastrojejunostomy (PRGJ).
• Previous reports have established the general effectiveness of PRGJ.

Purpose of the Study:

• To assess the clinical effectiveness and technical feasibility of temporary PRGJ.
• The study specifically evaluated a modified Chiba-needle technique with single gastropexy.

Main Methods:

• Temporary PRGJ was performed on 27 patients (18 with esophageal perforation, 9 with gastroparesis) using a modified Chiba-needle technique.
• Outcomes included technical success, clinical success, complications, and tube indwelling duration.

Main Results:

• All 27 patients achieved technical and clinical success.
• The mean tube indwelling period was 104 days, with tubes removed between 19-364 days.
• Minor complications (asymptomatic pneumoperitoneum) occurred in 7.4% of patients and resolved spontaneously; no major complications were reported.

Conclusions:

• Temporary PRGJ utilizing the modified Chiba-needle technique with single gastropexy is a clinically effective and technically feasible procedure.
• This method reliably provides adequate enteral nutrition for patients requiring temporary feeding support due to esophageal perforation or gastroparesis.