CT-Guided Percutaneous Gastrostomy without Preliminary Placement of a Nasogastric Tube |
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| Authors: | Xiong-ying Jiang Anne-Sophie Bertrand Guo Li Christophe Hebert Pierre-Yves Marcy Marie-Noëlle Falewee Antoine Iannessi |
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| Affiliation: | 1. Department of Interventional and Diagnostic Imaging, Cancer Center Antoine Lacassagne, Nice 06189, France;2. Department of Oncology, Cancer Center Antoine Lacassagne, Nice 06189, France;3. Department of Nutrition, Cancer Center Antoine Lacassagne, Nice 06189, France;4. Department of Interventional Radiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, P.R. China;5. Department of Radiotherapy, Cancer Center of Guangzhou Medical University, Guangzhou, P.R. China |
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| Abstract: | ![]()
Percutaneous radiologic gastrostomy (PRG) requires preliminary gastric inflation through a nasogastric tube (NGT) to safely perform gastric puncture. However, in case of pharyngeal or esophageal obstruction, NGT placement may be impossible even with a hydrophilic angiography catheter and wire. This brief report describes percutaneous computed tomography (CT)–guided gastrostomy with a 2-stick approach without nasogastric insufflation in 13 patients. Technical success rate was 100% with a mean of 1.8 punctures ± 1.0 to access the gastric lumen. Traversal of the colon and liver with a 22-gauge needle was necessary in 4 and 1 patients, respectively. There were no major complications. Minor complications occurred in 6 patients (46%). CT-guided percutaneous gastrostomy is technically feasible with minimal morbidity. |
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| Keywords: | NGT nasogastric tube PRG percutaneous radiologic gastrostomy |
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