Radiologic Percutaneous Gastrostomy for Enteral Access in Patients Requiring Long-Term Nutritional Support

  • Diego A. Covarrubias
  • Gabriel M. Covarrubias
  • Jessica M. Ho
Living reference work entry

Abstract

The availability of ready access to dietary and nutritional support is a basic necessity for the maintenance of adequate health. Appropriate nutrition becomes even more crucial in the diseased state as the gut is a large, dynamic organ that can have a profound influence on the immune response. Direct enteral access via radiologic percutaneous gastrostomy or gastrojejunostomy tube placement provides a safe and effective means of maintaining nutrition, particularly in chronic disease or critical care situations when long-term, reliable enteric access is required. The following chapter addresses all aspects of RPG, including indications and preparation for placement, procedure technique, potential complications, and care following placement.

Keywords

Catheter Ischemia Dementia Aspirin Heparin 

List of Abbreviations

CBC

Complete blood count

CT

Computed tomography

EN

Enteral nutrition

GJ-tube

Gastrojejunostomy tube

G-tube

Gastrostomy tube

ICU

Intensive care unit

INR

International normalized ratio

LMWH

Low-molecular-weight heparin

NGT

Nasogastric tube

PEG

Percutaneous endoscopic gastrostomy

PT

Prothrombin time

PTT

Partial thromboplastin time

RPG

Radiologic percutaneous gastrostomy

SIR

Society of Interventional Radiology

TPN

Total parenteral nutrition

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Diego A. Covarrubias
    • 1
  • Gabriel M. Covarrubias
    • 2
  • Jessica M. Ho
    • 3
  1. 1.Interventional Radiology, Diagnostic Imaging ServicesKaiser Permanente West Los Angeles Medical CenterLos AngelesUSA
  2. 2.Department of RadiologyColumbia University Medical Center / New York-Presbyterian HospitalNew YorkUSA
  3. 3.Department of RadiologyUniversity of Southern California Keck School of MedicineLos AngelesUSA

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