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

doi:10.14740/gr1136

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

Gastroenterology Res. 2019 Jun;12(3):115-119. doi: 10.14740/gr1136. Epub 2019 Jun 7.

Authors

Pratik A Shukla¹, Marcin K Kolber¹, Richard Tapnio¹, Adam Zybulewski¹, Abhishek Kumar¹, Rajesh I Patel¹

Affiliation

¹ Division of Vascular and Interventional Radiology, Department of Radiology, Mount Sinai Beth Israel, Mount Sinai Hospital System, Icahn School of Medicine, First Avenue at Sixteenth Street, New York, NY 10010, USA.

PMID: 31236151
PMCID: PMC6575128
DOI: 10.14740/gr1136

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.

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