Balloon techniques for percutaneous gastrostomy in a patient with partial gastrectomy

Area of Science:

• Gastroenterology
• Interventional Radiology
• Surgical Procedures

Background:

• Percutaneous gastrostomy is challenging in patients with prior partial gastrectomy and Billroth II anastomosis.
• Previous attempts at percutaneous endoscopic gastrostomy and radiologic percutaneous gastrostomy were unsuccessful in this patient.
• Partial gastrectomy anatomy complicates standard gastric access procedures.

Observation:

• Intragastric balloon techniques were employed to facilitate direct gastric distention.
• Efferent loop obstruction was achieved using balloon assistance.
• The procedure was performed successfully on two separate occasions.

Findings:

• Percutaneous gastrostomy was successfully performed using balloon-assisted techniques.
• Direct gastric distention and efferent loop obstruction were key to success.
• This approach proved effective despite previous failures with other methods.

Implications:

• Balloon-assisted percutaneous gastrostomy is a safe and feasible option for patients with complex gastric anatomy.
• This technique expands the possibilities for achieving gastric access in post-gastrectomy patients.
• It offers a potential solution for cases where conventional methods fail.