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Postpyloric Balloon Occlusion to Increase Technical Success during Pediatric Percutaneous

Rachelle Durand1, Anne Marie Cahill1, Sphoorti Shellikeri1

  • 1Division of Interventional Radiology, Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104.

Journal of Vascular and Interventional Radiology : JVIR
|June 15, 2020
PubMed

Insights

Postpyloric balloon occlusion aids gastric insufflation during gastrostomy/gastrojejunostomy tube placement when standard methods fail. This technique successfully salvaged 79.3% of procedures without complications, improving patient outcomes.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Endoscopic Procedures

Background:

  • Gastric distension is crucial for safe percutaneous gastrostomy/gastrojejunostomy (G/GJ) tube placement.
  • Inadequate gastric insufflation, even with glucagon, can lead to complications like duodenal air egress.

Purpose of the Study:

  • To evaluate the efficacy of postpyloric balloon occlusion as an adjunctive technique for maximizing gastric insufflation during G/GJ tube placement.
  • To assess the success rate and safety of this method when conventional techniques fail.

Main Methods:

  • A technique involving postpyloric balloon occlusion was used in 29 patients.
  • This method was applied when initial attempts at gastric insufflation for G/GJ placement were inadequate.

Main Results:

  • Postpyloric balloon occlusion successfully maximized gastric insufflation in the majority of cases.
  • The technique was successful in salvaging 23 out of 29 (79.3%) G/GJ tube placements.
  • No complications were reported with the use of this adjunctive method.

Conclusions:

  • Postpyloric balloon occlusion is an effective and safe adjunctive technique to improve gastric insufflation during G/GJ tube placement.
  • This method offers a viable solution for cases where conventional insufflation techniques are insufficient, enhancing procedural success rates.

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