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Percutaneous Gastrostomy and Gastrojejunostomy

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Non-Vascular Interventional Radiology of the Abdomen

Abstract

Percutaneous gastrostomy is a safe, low-cost method of providing essential nutrition without the discomfort of a nasogastric tube [1]. The interventional radiologist plays an increasingly important role in the creation and maintenance of enteral access. Of the three standard methods available for gastrostomy (surgical, endoscopic, radiologic), radiologic percutaneous gastrostomy is the least invasive and is associated with less morbidity and mortality when compared to surgical or endoscopic approaches [2, 3]. In many cases, radiologic percutaneous gastrostomy can be performed as an outpatient procedure and feedings can be initiated shortly after placement. For patients at risk of aspiration due to gastroesophageal reflux, percutaneous gastrostomy can be easily converted to percutaneous gastrojejunostomy. Finally, radiologic percutaneous gastrostomy placed under fluoroscopic guidance has been shown to have lower costs when compared to endoscopic and surgical approaches.

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Authors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital Harvard Medical School, Boston, MA, USA

    Ronald S. Arellano MD

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  1. Ronald S. Arellano MD
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Correspondence to Ronald S. Arellano MD .

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Arellano, R.S. (2011). Percutaneous Gastrostomy and Gastrojejunostomy. In: Non-Vascular Interventional Radiology of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7732-8_5

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  • DOI: https://doi.org/10.1007/978-1-4419-7732-8_5

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