Gastrointest Interv.  2017 Oct;6(3):166-170. 10.18528/gii160031.

Percutaneous radiologic gastrostomy in patients with failed percutaneous endoscopic gastrostomy

• Lee TF
• Cho YJ
• Shin JH
• Ko HK
• Park J
• Kim SH
• Kim JH
• Song HY

• KMID: 2394432
• DOI: http://doi.org/10.18528/gii160031

Abstract

BACKGROUND
To determine the technical feasibility and success rate of percutaneous radiologic gastrostomy (PRG) after failure of percutaneous endoscopic gastrostomy (PEG).
METHODS
Consecutive patients referred for PRG after failure of PEG between May 2011 and June 2016 were included in this study. The reasons for the failure of PEG, as well as the technical success and complications of PRG were noted.
RESULTS
Fifteen patients (14 men, 1 woman; age, 27-93 years) were included. The most common reasons for PEG failure were esophageal stricture due to malignancies (n = 8), unfavorable abdominal wall conditions (n = 3), unstable patient condition during endoscopy (n = 2), and other miscellaneous conditions (n = 2). PRG placement was technically successful in all 15 cases. In one case, early slip-out of the gastrostomy tube occurred, which required removal and repositioning. No mortality was noted.
CONCLUSION
PRG is technically feasible in patients with failed PEG insertion, and has advantages over PEG and a high overall success rate.

Keyword

Gastrostomy; Percutaneous endoscopic gastrostomy; Percutaneous radiological gastrostomy

MeSH Terms

Abdominal Wall
Endoscopy
Esophageal Stenosis
Female
Gastrostomy*
Humans
Male
Mortality