Percutaneous radiological gastrostomy (PRG) with fluoroscopic guidance using push technique: safety and efficacy
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Purpose
For individuals who cannot accept oral intake, gastrostomy catheters offer an alternate method of feeding access. Since the development of image-guided procedures, percutaneous radiological gastrostomy (PRG) has emerged as a viable and appealing substitute. There are two groups of radiologically guided methods. The push method comes first, followed by the pull technique. We employ the push technique PRG; this study aims to describe it and evaluate its technical viability, results, safety, and effectiveness.
Results
A retrospective analysis of 49 individuals who had PRG between June 2022 and June 2024 was carried out. All patients underwent push type. All of our patients had prior ultrasound and CT scans; pre-procedure preparations are done; in our study, we are using the Seldinger technique. All patients had PRG procedures that lasted less than 30 min. Using the methods outlined, all push-type gastrostomies were accomplished. Forty-nine out of 49 patients experienced technical success, resulting in a 100% technical success rate. The most common complication in our study was leakage from the tube (three patients) treated with over-sizing, tube displacement/dislodged (two patients) treated by reinsertion, one case with superficial skin infections treated conservatively, and one case with bleeding around the tube (peristomal) treated by suturing. Another patient developed mild pneumoperitoneum, which was managed conservatively. There is no other minor or major complication. There is no death due to gastrostomy-related complications.
Conclusion
The push approach for fluoroscopically guided gastrostomy was more feasible and safe with a low risk of problems.
