Single-Step Method for Pull-Type Gastrostomy Tube Placement

Publication date: Available online 18 September 2019Source: Journal of Vascular and Interventional RadiologyAuthor(s): Shawn Ma, Nicole A. Lamparello, Helen Paik, Gregory Nadolski, William Stavropoulos, David Tischfield, Terence Gade, Richard D. Shlansky-GoldbergAbstractSingle-step pull-type gastrostomy tube (PGT) placement is a method involving gastric puncture with a curved 18-gauge trocar needle allowing retrograde cannulation of the gastroesophageal junction without use of a sheath or snare. This retrospective review of 102 patients who underwent single-step PGT placement demonstrated 91% success in advancing the wire up the esophagus using only the curved trocar. Successful placement of a gastrostomy tube was 100%. Two major and 2 minor complications occurred within 30 days, all unrelated to the single-step technique. Mean fluoroscopy time for all patients was 5.1 min (range, 1.5–19.2 min). Single-step PGT placement is an effective, safe, fast, and equipment-sparing method for gastrostomy placement.
Source: Journal of Vascular and Interventional Radiology - Category: Radiology Source Type: research