Percutaneous fluoroscopic guided gastrostomy : 6 years experience in Jeddah, Saudi Arabia

Abstract EN

Purpose : To assess the local experience with the per¬cutaneous fluoroscopic gastrostomy (PG) with regard to indications, outcome, limitations and complications of the procedure.

Method : Retrospective analysis of 33 patients in whom PG was requested and performed over a period of 6 years.

Results : All 33 patients had successful catheter place¬ment.

Six patients had their catheters advanced to the je¬junum (transgastric jejunostomy).

Two patients had PG after failed endoscopic gastrostomy (EG).

No major com¬plications were encountered within the first 30 days.

Mi¬nor complications were noted in seven patients (21 %).

Three patients (9 %) had local infection at the stoma.

The other four patients (12 %) had catheter occlusion (use-re¬lated complications) that required catheter change.

Long¬term follow-up in eight patients showed a pericatheter leak at the stoma in three patients that was managed by change and step-up in the feeding catheter, French size.

There was no 30-day mortality.

Conclusion : The results indicate that PG is a safe and effective method for enteral feeding.

It is useful for short and long-term feeding.

Failed EG can be considered an indication for PG.