Safety and Feasibility of Ultrasound-Guided Gastric Access for Percutaneous Transabdominal Gastrostomy Tube Placement

Pratik A. Shukla, Marcin K. Kolber, Richard Tapnio, Adam Zybulewski, Abhishek Kumar, Rajesh I. Patel

Abstract


Background: The aim of the study was to evaluate the safety and feasibility of ultrasound guidance gastric access for percutaneous retrograde transabdominal gastrostomy (G)-tube placement.

Methods: Twenty-eight patients undergoing 31 percutaneous retrograde transabdominal G-tube placements utilizing ultrasound-guided gastric accesses were retrospectively identified.

Results: All patients had successful placement of G tubes with ultrasound-guided gastric access. There were no cases of aspiration or peritonitis. Average fluoroscopy time was 2.7 ± 1.4 min and average radiation dose was 220 ± 202 µGym2.

Conclusions: Ultrasound-guided access for gastrostomy placement is safe and feasible and can be performed with minimal fluoroscopy times resulting in low patient and operator radiation dose.




Gastroenterol Res. 2019;12(3):115-119
doi: https://doi.org/10.14740/gr1136


Keywords


“Push-type” gastrostomy tube; Percutaneous retrograde transabdominal gastrostomy; Ultrasound-guided gastric access; Fluoroscopy time; Radiation dose

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