Percutaneous gastrostomy and gastroenterostomy: 1. Techniques derived from laboratory evaluation

vanSonnenberg, Eric; Gr, Wittich; Brown, LK; Tanenbaum, LB; Campbell, JB; Cubberley, D A; Gibbs, JF

doi:10.2214/ajr.146.3.577

Cited by 38 publications

(5 citation statements)

References 5 publications

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“…As described in the experimental study and also reported by VANSONNENBERG et al (6) in an experimental study on dogs, firm gastrocutaneous tracts were formed within 7 days, making it possible to dilate the tract with the aid of an Olbert balloon and insert a catheter of larger caliber over a guide wire. The signs of localized fibrino-purulent peritonitis displayed in the rabbits in the experimental study are explained by the position of the puncture site in relation to the stomach, making leakage of gastric contents inevitable with the animal in its natural position.…”

Section: Discussionsupporting

confidence: 63%

Percutaneousc Gastrostomy

Lindberg

Ivancev²,

Kan³

et al. 1991

Acta Radiol

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Fluoroscopic percutaneous gastrostomy for the purpose of nutrition was performed in 28 patients with the aid of a specially designed gastrostomy set. No major complications were reported. Exchange to Foley catheter was performed after 7 days and could be used without complications for the patients' remaining life span. In order to evaluate the formation of a gastrocutaneous tract, an experimental study with the same instruments as in clinical practice was performed in 13 rabbits. Within one week a gastrocutaneous tract was formed, which was possible to dilate for insertion of a balloon catheter of larger size. The described procedure is a simple and time-saving method for a percutaneous gastrostomy in debilitated patients with dysphagia.

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Section: Discussionsupporting

confidence: 63%

Percutaneousc Gastrostomy

Lindberg

Ivancev²,

Kan³

et al. 1991

Acta Radiol

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“…Coleman et al [5] and Sanchez et al [6] also reported successful PGs for patients with a partial gastrectomy. In these reports, how to seek or make a PG route and avoid the interposed transverse colon or the liver during the percutaneous puncture is emphasized because catheter penetration through the liver or the bowel in the PG procedure sometimes induces serious problems in patients [2,6] or experimental animals [8]. However, the risk of the catheter penetration through the liver still remains uncertain.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous feeding gastrostomy in patients with a partial gastrectomy: transhepatic approach with CT guidance

et al. 1995

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“…Interposition of the liver is also regarded as a relative contraindication, although this technical difficulty can be overcome with pre-procedural ultrasound or CT [4,10,11,22,23].…”

Section: Contraindicationsmentioning

confidence: 99%

“…The barium serves to identify the colon for placement of the gastrostomy tube. If an NG tube cannot be passed, then direct puncture of the stomach may be performed under CT or US guidance [10,11,22,23,25].…”

Section: Percutaneous Gastrostomymentioning

confidence: 99%

The role of the interventional radiologist in enteral alimentation

2004

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The provision of enteral nutrition through the placement of gastrostomy/gastrojejunostomy tubes is a well-established procedure. Traditionally, these catheters have been placed either surgically or endoscopically; however, over the past two decades interventional radiologists have increasingly performed these procedures successfully. The perceived advantages of this route lie in the reported lower morbidity and mortality rates. In addition, percutaneous radiologically guided (PRG) catheters may be placed in certain subgroups of patients in whom it would be technically difficult or impossible by other routes, e.g., patients with head and neck or oesophageal tumours. The aim of this review is to describe the techniques of radiologically placed gastrostomy/gastrojejunostomy, discuss its indications and contraindications, describe any associated potential complications and compare PRG results with the more established techniques of open surgical and endoscopic placement. We also describe some recent procedural and catheter modifications.

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Percutaneous gastrostomy and gastroenterostomy: 1. Techniques derived from laboratory evaluation

Cited by 38 publications

References 5 publications

Percutaneousc Gastrostomy

Percutaneousc Gastrostomy

Percutaneous feeding gastrostomy in patients with a partial gastrectomy: transhepatic approach with CT guidance

The role of the interventional radiologist in enteral alimentation

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