Percutaneous radiologic gastrostomy catheter placement without gastropexy: a co-axial balloon technique and evaluation of safety and efficacy

Emily C. Bendel, Michael A. McKusick, Chad J. Fleming, Jeremy L. Friese, David A Woodrum, Andrew H. Stockland, Sanjay Misra

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study is to evaluate the short-term safety and efficacy of a co-axial angioplasty balloon technique for percutaneous radiologic gastrostomy catheter placement (PRG). Methods: A total of 65 percutaneous radiologic gastrostomy tube placements were performed with the co-axial angioplasty balloon technique from 10/1999 to 1/2014. This included 19 females and 46 males between the ages of 20–83. Without the use of T-fasteners for gastropexy, the gastrostomy tube was placed over a catheter-shaft angioplasty balloon as a co-axial system. The angioplasty balloon was used to sequentially approximate the stomach wall to the abdominal wall, dilate the tract, and was then used as a dilator to aid gastrostomy tube advancement into the gastric lumen. Technical success, complications, and dislodgements were evaluated by means of retrospective review of patient medical records and imaging. Results: There was no procedural failure in any of the 65 placements. 30-day follow-up was available for 56 patients. 7 patients died within 30 days; none of the deaths were recorded as procedure-related. There was 1 major complication (1.5%) consisting of a colocutaneous fistula. There were 4 minor complications (6.2%). There was no occurrence of bleeding or skin infection while using this technique. Conclusions: PRG with the co-axial angioplasty-balloon technique is a safe and effective technique for gastrostomy placement.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalAbdominal Radiology
DOIs
StateAccepted/In press - Jun 25 2016

Keywords

  • Abdominal intervention
  • Gastropexy
  • Gastrostomy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology
  • Radiological and Ultrasound Technology

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