Feasibility and clinical outcomes of CT-guided percutaneous gastrostomy with non-guidewire device

A new type of percutaneous gastrostomy device, designed not to use any guidewires during the procedure, is now available. This study aimed to evaluate the feasibility and clinical outcomes of this device for computer tomography-guided percutaneous gastrostomy (CT-PG).

Retrospective, single-center study reviewed patients who underwent CT-PG with the non-guidewire gastrostomy device between September 2020 and August 2024. CT-PG was indicated only for patients who had previously experienced failure of percutaneous endoscopic gastrostomy (PEG). The study assessed technical outcomes during the CT-PG procedure with the non-guidewire device and clinical outcomes following the CT-PG.

A total of 24 patients were enrolled in this study. Technical success was achieved in all cases. The mean procedural time was 30.2 min, and the mean radiation dose was 548.9 mGy·cm. Minor hematoma in the greater omentum occurred in four cases, but none of them required transfusion or invasive intervention. No major complications were observed. The mean follow-up period after CT-PG was 253.6 days, with no gastrostomy-related complications affecting its function as a feeding route.

The non-guidewire gastrostomy device is a feasible option for gastrostomy formation under CT fluoroscopy, offering favorable clinical outcomes.