Gastrointestinal Intervention  2017;6(3):166-170

doi:10.18528/gii160031

Percutaneous radiologic gastrostomy in patients with failed percutaneous endoscopic gastrostomy.

Tang Fei LEE 1 ; Young Jong CHO ; Ji Hoon SHIN ; Heung Kyu KO ; Jihong PARK ; Soo Hwan KIM ; Jin Hyoung KIM ; Ho Young SONG

Affiliations

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Keywords

Gastrostomy; Percutaneous endoscopic gastrostomy; Percutaneous radiological gastrostomy

Country

Republic of Korea

Language

English

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.