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Percutaneous gastrostomy without gastropexy
1Department of Diagnostic Radiology, McMaster University Medical Centre, Hamilton, Ont.
Summary
Percutaneous gastrostomy without gastropexy is a safe and effective method for gastrointestinal feeding access. Routine gastric fixation is generally not necessary, though its role in specific cases requires further confirmation.
Area of Science:
- Medical procedures
- Gastroenterology
- Radiology
Background:
- Percutaneous gastrostomy is a common procedure for establishing enteral feeding access.
- The necessity of gastropexy (gastric fixation) during percutaneous gastrostomy remains a topic of discussion.
Purpose of the Study:
- To detail the technique of percutaneous gastrostomy without gastropexy.
- To evaluate the success rate of this technique for gastrointestinal access.
- To ascertain if routine gastropexy is essential.
Main Methods:
- A retrospective review of 24 percutaneous gastrostomy procedures performed over 14 months.
- Procedures were conducted in the radiology department under fluoroscopic guidance.
- No sedation, glucagon, or gastric fixation (gastropexy) was employed.
Main Results:
- All 24 percutaneous gastrostomy procedures were technically successful.
- No major complications were reported.
- One minor case of chemical peritonitis resolved without intervention.
Conclusions:
- Percutaneous gastrostomy without gastropexy is a safe and effective method for enteral feeding access.
- Routine gastric fixation is likely unnecessary for most patients.
- The specific indications and benefits of gastropexy in select circumstances warrant further investigation.