American Journal of Roentgenology, Vol 154, 725-728, Copyright © 1990 by American Roentgen Ray Society

ARTICLES

Fluoroscopically guided percutaneous gastrostomy and gastroenterostomy: analysis of 158 consecutive cases

ME Hicks, RS Surratt, D Picus, MV Marx and EV Lang
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.

We reviewed our experience with 158 consecutive patients who underwent either percutaneous gastrostomy or percutaneous gastroenterostomy during a 2-year period. The catheters used included Foley catheters (36), Cope-type gastric catheters (86), or Carey-Alzate-Coons gastrojejunostomy catheters (36). Gastrojejunostomy tubes were placed in patients with gastroesophageal reflux or aspiration, gastric atony, or partial gastric obstruction. Ninety percent of the tubes were placed for feeding purposes. The technical success rate was 100%. Thirty-day follow-up was obtained in 89%. Thirty-day mortality was 26%, reflecting the substantial number of debilitated patients. No deaths were directly related to tube placement. Major morbidity was 6% and included hemorrhage, peritonitis, tube migration, and sepsis. Minor morbidity was 12%. There was no difference in 30-day mortality or feeding tolerance between the tube types (p less than .05). Patients with Foley catheters had more complications necessitating surgical intervention and an increased incidence of tube changes required within 30 days. These were the only statistically significant differences between the tubes (p less than .05). Our results show that percutaneous gastrostomy is a safe and effective means of gastroenteric feeding or decompression. Because of the fewer complications and ease of insertion, the Cope type of gastrostomy tube has become our preferred catheter for percutaneous feeding or decompression.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				H-P Dinkel, K T Beer, P Zbaren, and J Triller Establishing radiological percutaneous gastrostomy with balloon-retained tubes as an alternative to endoscopic and surgical gastrostomy in patients with tumours of the head and neck or oesophagus Br. J. Radiol., April 1, 2002; 75(892): 371 - 377. [Abstract] [Full Text] [PDF]

				C B Pearce and H D Duncan Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: its indications and limitations Postgrad. Med. J., April 1, 2002; 78(918): 198 - 204. [Abstract] [Full Text] [PDF]

				J. H. Turner and G. R. Wittich Direct Percutaneous Transperitoneal Duodenostomy: An Alternative Form of Enteral Feeding Am. J. Roentgenol., January 1, 2001; 176(1): 159 - 160. [Full Text]

				C. L. Dewald, P. O. Hiette, L. E. Sewall, P. G. Fredenberg, and A. M. Palestrant Percutaneous Gastrostomy and Gastrojejunostomy with Gastropexy: Experience in 701 Procedures Radiology, June 1, 1999; 211(3): 651 - 656. [Abstract] [Full Text]

				M. E. Beaver, J. N. Myers, L. Griffenberg, and K. Waugh Percutaneous Fluoroscopic Gastrostomy Tube Placement in Patients With Head and Neck Cancer Arch Otolaryngol Head Neck Surg, October 1, 1998; 124(10): 1141 - 1144. [Abstract] [Full Text] [PDF]

				G. Minard Invited Review: Enteral Access Nutr Clin Pract, October 1, 1994; 9(5): 172 - 182. [Abstract] [PDF]