Modified percutaneous radiologic gastrostomy technique without endoscopic or nasogastric access

The Egyptian Journal of Radiology and Nuclear Medicine

Reda Tabashy¹  Mohamed Gad El-Mola²  Amira Darwish²  Ashraf Ibrahim³ 

[1] Department of Diagnostic and Interventional Radiology, National Cancer Institute, Cairo University;Department of Medical Oncology, National Cancer Institute, Cairo University;Department of Surgical Oncology, National Cancer Institute, Cairo University;

关键词: Gastrostomy;    Percutaneous gastrostomy;    Stomach;    Enteral feeding;   

DOI  :  10.1186/s43055-019-0086-8

来源: DOAJ

【 摘 要 】

Abstract Background The aim of this study is to evaluate the efficacy and safety of a modified percutaneous radiologic gastrostomy (MPRG) technique under ultrasound and fluoroscopic guidance without endoscopic or nasogastric access. Results The study included 24 patients: 10 males and 14 females whose ages ranged from 44 to 80 years old. Ten patients had esophageal cancer and 14 patients had neck cancer. Technical success was achieved in 23 out of the 25 procedures (92%). Two procedures failed (8%) and were converted to the conventional technique by using the nasogastric tube. No major complications were reported. Minor complications were observed in 5 patients (20%): intraperitoneal air and contrast leakage in 4 patients and focal mucosal dissection by the contrast in 1 patient. Conclusion The MPRG has high technical success rate, is safe with no major complications, and is most feasible when endoscopic or nasogastric access cannot be performed.

【 授权许可】

Unknown