Complications of Gastrostomy Tube Placement

Gastrostomy tube placement is a common medical procedure performed endoscopically, surgically, or with image guidance in interventional radiology. It is indicated for nutritional supplementation in those with inadequate oral intake and for gastric decompression in the setting of intestinal obstruction. For optimal outcomes, preprocedural clinical evaluation, imaging workup, meticulous technique during placement, and close clinical follow-up are essential. Complications are usually minor but not uncommon. They may occur during placement, in the immediate postoperative period, and throughout the time the tube is in place. This article will review the indications, contraindications, and complications of percutaneous gastrostomy tube placement. Major and minor complications will be illustrated along with tips and mitigation strategies employed to avoid and treat them.