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[Percutaneous gastrostomy. Personal experience in 137 cases]
1Istituto di Radiologia, Università di Torino.
La Radiologia Medica
|December 1, 1994
Summary
Percutaneous gastrostomy offers an effective, safe, and cost-efficient method for enteral feeding in patients with dysphagia. This minimally invasive procedure, performed under imaging guidance, avoids major complications and allows for prompt feeding, reducing hospitalization.
Area of Science:
- Gastroenterology
- Minimally Invasive Procedures
- Surgical Techniques
Context:
- Dysphagia, resulting from various conditions like cancer or neuropathy, necessitates alternative feeding methods.
- Total parenteral nutrition and long-term nasogastric tubes present limitations.
- Percutaneous gastrostomy emerges as a viable alternative for nutritional support.
Purpose:
- To evaluate the efficacy and safety of percutaneous gastrostomy.
- To report personal experience with 137 percutaneous gastrostomy procedures.
- To highlight the technique and outcomes of this intervention.
Summary:
- 137 percutaneous gastrostomies were performed using fluoroscopic and ultrasound guidance.
- The Seldinger technique under local anesthesia facilitated catheter placement.
- No major complications like hemorrhage or peritonitis were observed; minor issues were manageable.
- Enteral feeding commenced the day after the procedure, which took approximately 10 minutes.
Impact:
- Percutaneous gastrostomy is a well-tolerated, cost-effective procedure with shorter hospital stays compared to surgical or endoscopic methods.
- It provides a safe and efficient route for enteral nutrition.
- Contraindications include hepatomegaly, ascites, and post-gastric resection complications.