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Percutaneous gastrostomy and gastrojejunostomy: additional experience in 519 procedures
S D Bell1, E A Carmody, E Y Yeung
1Department of Radiology, University of Toronto, Toronto Hospital, Ontario, Canada.
Radiology
|March 1, 1995
Summary
Radiologically guided percutaneous gastrostomy and gastrojejunostomy are safe and effective for enteral nutrition and decompression. These procedures demonstrate high success rates with low complication risks in patient care.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Surgical Procedures
Background:
- Percutaneous gastrostomy and gastrojejunostomy are crucial for enteral feeding and gastrointestinal decompression.
- Assessing the safety and efficacy of these radiologically guided procedures is vital for clinical practice.
Purpose of the Study:
- To evaluate the effectiveness and safety of radiologically guided percutaneous gastrostomy and gastrojejunostomy catheter placement.
- To determine success rates, complication profiles, and patient outcomes.
Main Methods:
- A retrospective analysis of 519 percutaneous gastrostomy and gastrojejunostomy procedures performed over 6 years.
- Patient selection criteria, procedural techniques, and immediate post-procedural outcomes were documented.
Main Results:
- Gastrojejunostomy procedures had a 95.1% success rate; gastrostomies for decompression were 100% successful.
- Overall major and minor complication rates were low at 1.3% and 2.9%, respectively.
- The 30-day mortality rate was 17.1%, with two gastrostomy-related deaths.
Conclusions:
- Percutaneous gastrostomy and gastrojejunostomy are safe and effective interventions.
- These methods provide reliable short- or long-term enteral nutrition.
- They are also effective for upper gastrointestinal tract decompression.