Fluoroscopically guided percutaneous gastrostomy: current status

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. Ther 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 gastroesophageal 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.