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Safety and Feasibility of an Early Feeding Protocol after Percutaneous Fluoroscopy-Guided Gastrostomy Tube Placement

Hubert E Smith1, Molly S Good2, Salam F Sunna2

  • 1Department of Radiology, MedStar Georgetown University Hospital, Washington, DC.

Journal of Vascular and Interventional Radiology : JVIR
|March 19, 2026
PubMed

Insights

Early enteral nutrition after percutaneous image-guided gastrostomy tube placement is safe and effective. This approach minimizes fasting time without increasing adverse events compared to delayed feeding protocols.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Clinical Nutrition

Background:

  • Percutaneous image-guided gastrostomy (PIGT) tube placement is a common procedure for enteral nutrition.
  • Optimal timing for initiating enteral feeding post-PIGT remains a subject of clinical interest.
  • Minimizing patient fasting duration is crucial for nutritional support.

Purpose of the Study:

  • To compare the safety and feasibility of early versus delayed enteral feeding protocols.
  • To evaluate adverse events associated with different feeding initiation times after uncomplicated PIGT.
  • To assess the impact of feeding protocols on patient discharge timelines.

Main Methods:

  • Retrospective analysis of 196 inpatients undergoing balloon-retained PIGT.
  • Comparison of an early feeding group (within 4.3 ± 2.3 hours) and a delayed feeding group (at 28.6 ± 18.2 hours).
  • Data collection included demographics, adverse events, feeding times, and discharge times.

Main Results:

  • No significant difference in adverse event rates between early (0%) and delayed (2%) feeding groups (P=0.498).
  • No peritonitis, tube dislodgement, or hemorrhage in the early feeding group.
  • Delayed feeding group had one case of hemorrhage and one of atrial fibrillation requiring ICU transfer.
  • Mean time to discharge was similar for both groups (10.0 vs. 10.8 days, P=0.413).

Conclusions:

  • Early enteral feeding after uncomplicated PIGT is safe and effective.
  • No increased risk of adverse events with early feeding compared to delayed feeding.
  • Early feeding reduces fasting duration, potentially mitigating nutritional deficits.
Abstract

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