Fluoroscopically guided percutaneous gastrostomy: current status

Raymond F. McLoughlin, MB, FRCPC; C. Benjamin So, MB, FRCPC; Robin R. Gray, MD, CM, FRCPC

Canadian Association of Radiologists Journal 1996; 47: 10

McLoughlin, So, Gray - Department of Diagnostic Imaging, Foothills Hospital, Calgary, Alta.
Paper reprints of the full text may be obtained from: Dr. Raymond F. McLoughlin, Department of Diagnostic Radiology and Nuclear Medicine, University Hospital, PO Box 5339, 339 Windermere Rd., London ON N6A 5A5

Abstract

The authors review the current status of fluoroscopically guided percutaneous gastrostomy (FGPG). The indications for this procedure have been expanded since the technique was first described over a decade ago. There are few contraindications to FGPG, although modifications are required in some situations. The procedure involves placing a feeding tube into the stomach by a modified Seldinger technique. According to the literature, most interventionalists do not routinely employ gastropexy. The insertion of gastrojejunostomy feeding tubes rather than gastrostomy feeding tubes to reduce gastro- esophageal reflux remains controversial. Complications after FGPG are rare. Feeding tubes inserted in this manner allow satisfactory establishment and maintenance of enteral feeding. The technique compares favourably with other methods of inserting gastrostomy tubes.

Key words: gastrointestinal tract, interventional procedure, gastrostomy, gastrojejunostomy

GO TO CARJ : Feb. 1996 - GO TO Radiology