MDCT evaluation of complications of percutaneous gastrostomy tube placement

Rakhee S. Gawande, Christopher R. Bailey, Christopher Jones, Elliot K. Fishman

Research output: Contribution to journalReview articlepeer-review

Abstract

Percutaneous gastrostomy tube placement is a commonly performed procedure to provide enteral alimentation to patients unable to tolerate oral feeds. Percutaneous gastrostomy is a relatively safe procedure, and serious complications like gastrointestinal bleeding, perforated viscus, and adjacent organ injury are rare. The most common complications after gastrostomy tube placement occur early and are usually minor. The purpose of this review article is to describe the techniques of percutaneous gastrostomy tube insertion and imaging protocol for gastrostomy tube evaluation, and describe the early, late, and anytime complications. The article will also illustrate very rare late complications of gastrostomy tube placement like gastro-hepatic fistula, gastro-colic fistula, buried bumper syndrome, and gastrostomy site hernia.

Original languageEnglish (US)
Pages (from-to)663-674
Number of pages12
JournalEmergency Radiology
Volume26
Issue number6
DOIs
StatePublished - Dec 1 2019

Keywords

  • Gastrostomy malposition
  • Gastrostomy tube complications
  • MDCT
  • Percutaneous gastrostomy

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging

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