Radiological Gastrostomy

Fluoroscopy-guided percutaneous feeding tube placement directly into the stomach.

Digestive and Gastrointestinal

Radiological Gastrostomy

Synonyms : fluoroscopy-guided gastrostomy, radiological PEG

Background

Patients unable to eat orally (swallowing disorders, head/neck cancer, neurological disease) requiring prolonged enteral nutrition.

Procedure

Under local anesthesia/sedation, stomach inflated with air. Under fluoroscopy, stomach fixated to abdominal wall (gastropexy) then tube inserted. Duration: 30-45 minutes.

Risks

Site infection, tube displacement, peritoneal leak, pneumoperitoneum.

Recovery

Feeding starts at 24h. Daily site care. Tube change every 3-6 months.

Practical information

Local anesthesia. Outpatient procedure (return home the same day).