Gut Liver.
2010 Sep;4(Suppl 1):S25-S31.
Updates on Percutaneous Radiologic Gastrostomy/Gastrojejunostomy and Jejunostomy
- Affiliations
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- 1Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jhshin@amc.seoul.kr
- 2Department of Radiology, University of Virginia, Charlottesville, VA, USA.
Abstract
- Gastrostomy placement for nutritional support for patients with inadequate oral intake has been attempted using surgical, endoscopic, and, more recently, percutaneous radiologically guided methods. Surgical gastrostomy has been superseded by both endoscopic and radiologic gastrostomy. We describe herein the indications, contraindications, patient preparations, techniques, complications, and aftercare with regard to radiologic gastrostomy. In addition, we discuss the available tube types and their perceived advantages. There remain some controversies regarding gastropexy performance and primary percutaneous gastrojejunostomy. Percutaneous jejunostomy is indicated for patients whose stomach is inaccessible for gastrostomy placement or for those who have had a previous gastrectomy.
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