مرکز منطقه ای اطلاع رساني علوم و فناوري - Percutaneous radiological gastrostomy and gastrojejunostomy: An alternative method for long term enteric feeding

Abstract :

Objectives: In this study it was aimed to investigate the safety and technical success of percutaneous radiological gastrostomy and gastrojejunostomy. Materials and Methods: Results of 35 patients with a percutaneous gastrostomy or gastrojejunostomy are retrospectively evaluated. The indications for the procedure were dysphagia due to central nervous system disorders in 22, feeding disturbance due to oropharyngeal problems in 8 and excessive weight loss secondary to gastrointestinal system dysfunction in 5. The indications for percutaneous gastrojejunostomy were a history of aspiration, gastroesophageal reflux and diaphragmatic hernia. Results: Percutaneous radiological gastrostomy was performed in 22 and percutaneous gastrojejunostomy in 11 patients. In one patient, the procedure was not performed because of colonic superposition on the entire stomach, which precluded a safe access route. In another patient intervention was not successful. Minor complications, consisting of tube dislocation (n=2) and access site drainage (n=1) were seen in 3 (9%) patients. Major complications and 30 day mortality occurred in one (3%) patient. Conclusions: Percutaneous radiological gastrostomy and gastrojejunostomy are safe and effective methods with high technical success and low complication rates. Percutaneous radiological gastrostomy may be the method of choice for long term enteric feeding in patients, in whom endoscopy cannot be performed.