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. 2019 Jun;30(6):915-917.
doi: 10.1016/j.jvir.2018.08.014. Epub 2019 Feb 14.

CT-Guided Percutaneous Gastrostomy without Preliminary Placement of a Nasogastric Tube

Xiong-Ying Jiang  1 , Anne-Sophie Bertrand  2 , Guo Li  3 , Christophe Hebert  4 , Pierre-Yves Marcy  2 , Marie-Noëlle Falewee  5 , Antoine Iannessi  6
Affiliations

CT-Guided Percutaneous Gastrostomy without Preliminary Placement of a Nasogastric Tube

Xiong-Ying Jiang et al. J Vasc Interv Radiol. 2019 Jun.

Abstract

Percutaneous radiologic gastrostomy (PRG) requires preliminary gastric inflation through a nasogastric tube (NGT) to safely perform gastric puncture. However, in case of pharyngeal or esophageal obstruction, NGT placement may be impossible even with a hydrophilic angiography catheter and wire. This brief report describes percutaneous computed tomography (CT)-guided gastrostomy with a 2-stick approach without nasogastric insufflation in 13 patients. Technical success rate was 100% with a mean of 1.8 punctures ± 1.0 to access the gastric lumen. Traversal of the colon and liver with a 22-gauge needle was necessary in 4 and 1 patients, respectively. There were no major complications. Minor complications occurred in 6 patients (46%). CT-guided percutaneous gastrostomy is technically feasible with minimal morbidity.

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