Skip to main content
SpringerLink
Log in
Book cover

Gastrointestinal Interventional Radiology pp 17–29Cite as

Gastrostomy and Gastrojejunostomy

  • Chapter
  • First Online:

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Percutaneous radiological gastrostomy is a minimally invasive means of accessing the stomach for the purposes of enteral feeding or decompression. In this chapter, we discuss the various methods of percutaneous access of the gastrointestinal tract, including gastrostomy, gastrojejunostomy (transgastric jejunostomy), and direct jejunostomy. The indications, contraindications, technical characteristics, patient preparation prior to the procedure, and possible adverse events associated with these procedures are discussed. The relevant background literature and the advantages of radiologic gastrostomy are also detailed in the chapter.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Covarrubias DA, O’Connor OJ, McDermott S, Arellano RS. Radiologic percutaneous gastrostomy: review of potential complications and approach to managing the unexpected outcome. AJR Am J Roentgenol. 2013;200(4):921–31.

    Article  Google Scholar 

  2. Ozmen MN, Akhan O. Percutaneous radiologic gastrostomy. Eur J Radiol. 2002;43(3):186–95.

    Article  Google Scholar 

  3. Cozzi G, Gavazzi C, Civelli E, Milella M, Salvetti M, Scaperrotta G, et al. Percutaneous gastrostomy in oncologic patients: analysis of results and expansion of the indications. Abdom Imaging. 2000;25(3):239–42.

    Article  CAS  Google Scholar 

  4. Laasch HU, Martin DF. Radiologic gastrostomy. Endoscopy. 2007;39(3):247–55.

    Article  Google Scholar 

  5. James A, Kapur K, Hawthorne AB. Long-term outcome of percutaneous endoscopic gastrostomy feeding in patients with dysphagic stroke. Age Ageing. 1998;27(6):671–6.

    Article  CAS  Google Scholar 

  6. George BP, Kelly AG, Albert GP, Hwang DY, Holloway RG. Timing of percutaneous endoscopic gastrostomy for acute ischemic stroke: an observational study from the US nationwide inpatient sample. Stroke. 2017;48(2):420–7.

    Article  Google Scholar 

  7. Ho CS, Yeung EY. Percutaneous gastrostomy and transgastric jejunostomy. AJR Am J Roentgenol. 1992;158(2):251–7.

    Article  CAS  Google Scholar 

  8. Righi PD, Reddy DK, Weisberger EC, Johnson MS, Trerotola SO, Radpour S, et al. Radiologic percutaneous gastrostomy: results in 56 patients with head and neck cancer. Laryngoscope. 1998;108(7):1020–4.

    Article  CAS  Google Scholar 

  9. Tessier W, Piessen G, Briez N, Boschetto A, Sergent G, Mariette C. Percutaneous radiological gastrostomy in esophageal cancer patients: a feasible and safe access for nutritional support during multimodal therapy. Surg Endosc. 2013;27(2):633–41.

    Article  Google Scholar 

  10. Thornton FJ, Fotheringham T, Alexander M, Hardiman O, McGrath FP, Lee MJ. Amyotrophic lateral sclerosis: enteral nutrition provision--endoscopic or radiologic gastrostomy? Radiology. 2002;224(3):713–7.

    Article  Google Scholar 

  11. Montgomery ML, Miner NK, Soileau MJ, McDonald DK. Placement of the AbbVie PEG-J tube for the treatment of Parkinson’s disease in the interventional radiology suite. Proc (Baylor Univ Med Cent). 2016;29(4):420–2.

    Article  Google Scholar 

  12. Dhooge M, Gaudric M. Non-surgical access for enteral nutritional: gastrostomy and jejunostomy, technique and results. J Visc Surg. 2013;150(3 Suppl):S19–26.

    Article  CAS  Google Scholar 

  13. Finucane TE, Christmas C. More caution about tube feeding. J Am Geriatr Soc. 2000;48(9):1167–8.

    Article  CAS  Google Scholar 

  14. Lawinski M, Gradowski L, Bzikowska A, Goszczynska A, Jachnis A, Forysinski K. Gastrojejunostomy inserted through PEG (PEG-J) in prevention of aspiration pneumonia. Clinical nutrition complication in dysphagic patients. Pol Przegl Chir. 2014;86(5):223–9.

    Article  Google Scholar 

  15. Anstee QM, Forbes A. The safe use of percutaneous gastrostomy for enteral nutrition in patients with Crohn’s disease. Eur J Gastroenterol Hepatol. 2000;12(10):1089–93.

    Article  CAS  Google Scholar 

  16. Sy K, Dipchand A, Atenafu E, Chait P, Bannister L, Temple M, et al. Safety and effectiveness of radiologic percutaneous gastrostomy and gastro jejunostomy in children with cardiac disease. AJR Am J Roentgenol. 2008;191(4):1169–74.

    Article  Google Scholar 

  17. Laasch HU, Wilbraham L, Bullen K, Marriott A, Lawrance JA, Johnson RJ, et al. Gastrostomy insertion: comparing the options--PEG, RIG or PIG? Clin Radiol. 2003;58(5):398–405.

    Article  Google Scholar 

  18. Lyon SM, Pascoe DM. Percutaneous gastrostomy and gastrojejunostomy. Semin Interv Radiol. 2004;21(3):181–9.

    Article  Google Scholar 

  19. Shaw C, Bassett RL, Fox PS, Schmeler KM, Overman MJ, Wallace MJ, et al. Palliative venting gastrostomy in patients with malignant bowel obstruction and ascites. Ann Surg Oncol. 2013;20(2):497–505.

    Article  Google Scholar 

  20. Overhagen H, Schipper J. Percutaneous jejunostomy. Semin Interv Radiol. 2004;21(3):199–204.

    Article  Google Scholar 

  21. Horoldt BS, Lee FK, Gleeson D, McAlindon ME, Sanders DS. Ultrasound guidance in the placement of a percutaneous endoscopic gastrostomy (PEG): an adjuvant technique in patients with abdominal wall varices? Dig Liver Dis. 2005;37(9):709–12.

    Article  CAS  Google Scholar 

  22. Kynci JA, Chodash HB, Tsang TK. PEG in a patient with ascites and varices. Gastrointest Endosc. 1995;42(1):100–1.

    Article  CAS  Google Scholar 

  23. O’Connor OJ, Diver E, McDermott S, Covarrubias DA, Shelly MJ, Growdon W, et al. Palliative gastrostomy in the setting of voluminous ascites. J Palliat Med. 2014;17(7):811–21.

    Article  Google Scholar 

  24. Gassas A, Kennedy J, Green G, Connolly B, Cohen J, Dag-Ellams U, et al. Risk of ventriculoperitoneal shunt infections due to gastrostomy feeding tube insertion in pediatric patients with brain tumors. Pediatr Neurosurg. 2006;42(2):95–9.

    Article  CAS  Google Scholar 

  25. Sane SS, Towbin A, Bergey EA, Kaye RD, Fitz CR, Albright L, et al. Percutaneous gastrostomy tube placement in patients with ventriculoperitoneal shunts. Pediatr Radiol. 1998;28(7):521–3.

    Article  CAS  Google Scholar 

  26. Kim JS, Park YW, Kim HK, Cho YS, Kim SS, Youn NR, et al. Is percutaneous endoscopic gastrostomy tube placement safe in patients with ventriculoperitoneal shunts? World J Gastroenterol. 2009;15(25):3148–52.

    Article  Google Scholar 

  27. Seo N, Shin JH, Ko GY, Yoon HK, Gwon DI, Kim JH, et al. Incidence and management of bleeding complications following percutaneous radiologic gastrostomy. Korean J Radiol. 2012;13(2):174–81.

    Article  Google Scholar 

  28. Patel IJ, Davidson JC, Nikolic B, Salazar GM, Schwartzberg MS, Walker TG, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 2012;23(6):727–36.

    Article  Google Scholar 

  29. Given MF, Hanson JJ, Lee MJ. Interventional radiology techniques for provision of enteral feeding. Cardiovasc Intervent Radiol. 2005;28(6):692–703.

    Article  CAS  Google Scholar 

  30. Given MF, Lyon SM, Lee MJ. The role of the interventional radiologist in enteral alimentation. Eur Radiol. 2004;14(1):38–47.

    Article  CAS  Google Scholar 

  31. Deutsch LS, Kannegieter L, Vanson DT, Miller DP, Brandon JC. Simplified percutaneous gastrostomy. Radiology. 1992;184(1):181–3.

    Article  CAS  Google Scholar 

  32. Thornton FJ, Fotheringham T, Haslam PJ, McGrath FP, Keeling F, Lee MJ. Percutaneous radiologic gastrostomy with and without T-fastener gastropexy: a randomized comparison study. Cardiovasc Intervent Radiol. 2002;25(6):467–71.

    Article  CAS  Google Scholar 

  33. Black MT, Hung CA, Loh C. Subcutaneous T-fastener gastropexy: a new technique. AJR Am J Roentgenol. 2013;200(5):1157–9.

    Article  Google Scholar 

  34. Bendel EC, McKusick MA, Fleming CJ, Friese JL, A Woodrum D, Stockland AH, et al. Percutaneous radiologic gastrostomy catheter placement without gastropexy: a co-axial balloon technique and evaluation of safety and efficacy. Abdom Radiol (NY). 2016;41(11):2227–32.

    Article  Google Scholar 

  35. Lyon SM, Haslam PJ, Duke DM, McGrath FP, Lee MJ. De novo placement of button gastrostomy catheters in an adult population: experience in 53 patients. J Vasc Interv Radiol. 2003;14(10):1283–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Vascular and Interventional Radiology, University of Miami - Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA

    Prasoon P. Mohan

  2. Department of Radiology, University of Miami - Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA

    John J. Manov & Michael E. Langston

  3. Department of Interventional Radiology, University of Connecticut Health Center, Farmington, CT, USA

    Charan K. Singh

Authors
  1. Prasoon P. Mohan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John J. Manov
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael E. Langston
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Charan K. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Prasoon P. Mohan .

Editor information

Editors and Affiliations

  1. Department of Interventional Radiology, University of Connecticut Health Center, Farmington, CT, USA

    Charan K. Singh

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing Switzerland

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Mohan, P.P., Manov, J.J., Langston, M.E., Singh, C.K. (2018). Gastrostomy and Gastrojejunostomy. In: Singh, C. (eds) Gastrointestinal Interventional Radiology . Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-91316-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-91316-2_3

  • Published:

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-91315-5

  • Online ISBN: 978-3-319-91316-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation