Percutaneous Gastrostomy in Patients Who Fail or Are Unsuitable for Endoscopic Gastrostomy

Abstract

We conclude that PRG is a safe, well-tolerated and successful method of gastrostomy and gastrojejunostomy insertion in the technically difficult group of patients who have undergone an unsuccessful PEG. In many such cases optimal clinical evaluation will suggest primary referral for PRG as the preferred option.

Comparison of fluoroscopy-guided Pull-type Percutaneous Radiological Gastrostomy (Pull-type-PRG) with conventional Percutaneous Radiological Gastrostomy (Push-type-PRG): clinical results in 253 patients

“…Since first described in 1981 [6], the percutaneous radiological gastrostomy has been proved to be safe and effective [1,18,19]. Success rates between 85% and 100% [14,18,20] have been reported for fluoroscopy guided techniques which are particularly feasible in challenging anatomic situations or after failed endoscopic gastrostomy attempts [20][21][22]. Our data confirm these data with high primary success rates of 98.3% and 92% for Pull-type-PRG and Push-type-PRG, respectively.…”

Obstruction of the Bypassed Stomach Treated with Percutaneous Drainage: An Alternative Treatment for Selected Cases

“…Studies comparing percutaneous radiologic gastrostomy (PRG) with percutaneous endoscopic gastrostomies (PEG) report higher technical success and similar or fewer procedural complications in PRG than in PEG [15][16][17]. However, long-term complications in PRG are more common than in PEG.…”

Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology

“…Also the endoscopic procedure reduces the radiation exposure. Meanwhile, radiological placement is possible in patients who fail endoscopic management such as those who are morbidly obese or have severe upper GI luminal narrowing[68]. Hence it is of utmost importance that practitioners are aware of these indications so that the patient can be sent to appropriate discipline for gastrostomy tube placement.…”