Radiologically inserted gastrostomy tube in neurological disease: A retrospective study

Area of Science:

• Medical Devices
• Gastroenterology
• Neurology

Background:

• Enteral nutrition is crucial for patients with neurological diseases affecting swallowing.
• Radiologically inserted gastrostomy (RIG) provides a minimally invasive method for enteral access.
• Comparing different RIG device types is essential for optimizing patient care.

Purpose of the Study:

• To compare the safety and efficacy of balloon versus non-balloon (dilator) gastrostomy devices used in RIG procedures.
• To analyze complication rates and procedural outcomes in patients with neurological conditions.

Main Methods:

• Retrospective analysis of 152 patients undergoing RIG from July 2017 to September 2020.
• Comparison of balloon (n=104) and non-balloon (n=48) groups.
• Analysis included complication frequency, recovery time, fluoroscopy time, radiation dose, and pain management.

Main Results:

• Overall complication rate was 33.8%, with no statistically significant difference between balloon and non-balloon RIG groups.
• Balloon group showed trends towards shorter fluoroscopy time, lower radiation exposure, and shorter operating time.
• Logistic regression indicated no significant impact of BMI, age, or gender on minor complication rates.

Conclusions:

• RIG tube insertions are a valuable alternative for enteral support in patients with neurological disease.
• Balloon and non-balloon RIG devices demonstrate comparable safety and efficacy profiles.
• Further research may explore specific patient subgroups to refine device selection.