Percutaneous gastrostomy for enteral feeding

Area of Science:

• Gastroenterology
• Surgical Procedures

Background:

• Enteral feeding is crucial for nutritional support in patients unable to consume food orally.
• Gastrostomy tube placement is a common method for long-term enteral feeding.
• Percutaneous techniques offer less invasive alternatives to surgical gastrostomy.

Purpose of the Study:

• To evaluate the safety and efficacy of percutaneous nonendoscopic gastrostomy (PENG) using the Seldinger technique for enteral feeding in adults.
• To assess the procedural success rate and identify potential complications associated with PENG.

Main Methods:

• A prospective study involving 32 adult patients requiring enteral feeding.
• Percutaneous nonendoscopic gastrostomy was performed using the Seldinger technique.
• Patient outcomes, including procedural success, complications, and mortality, were monitored over 18 months.

Main Results:

• Successful gastrostomy placement was achieved in all 32 patients.
• No deaths or major morbidity were directly attributed to the gastrostomy procedure.
• One patient experienced peritoneal irritation due to catheter dislodgement, managed conservatively with antibiotics.

Conclusions:

• Percutaneous nonendoscopic gastrostomy using the Seldinger technique is a simple and safe procedure.
• This method is recommended as a preferred option for gastrostomy placement in adults needing enteral feeding.