CT-guided gastrostomy tube placement—a single center case series
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Interventional Radiology - Original Article
P: 464-469
September 2020

CT-guided gastrostomy tube placement—a single center case series

Diagn Interv Radiol 2020;26(5):464-469
1. Department of Radiology, University of Missouri Columbia School of Medicine, Columbia, Missouri, USA
2. Department of Radiology, Division of Interventional Radiology, University of Missouri- Columbia School of Medicine, Columbia, Missouri, USA
3. Department of Radiology, University of Texas Health Science Center, San Antonio, Texas , USA
No information available.
No information available
Received Date: 07.09.2019
Accepted Date: 21.07.2020
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ABSTRACT

PURPOSE

The role of computed tomography (CT)-guided gastrostomy tube placement is still evolving. It is a valuable alternative to guide gastrostomy tube placement in a few selected patients, who are not candidates for the established endoscopy- or fluoroscopy-guided gastrostomy tube placement. Our objective was to describe our institutional experience placing gastrostomy tubes using CT guidance and to conduct a review of literature for similar studies to provide the best current evidence on success rates and complications.

METHODS

We identified gastrostomy tubes placed under CT guidance at our institution using a comprehensive case log. We also identified studies in the literature, through a systematic search of PubMed. In both the local and literature analyses, we recorded success and complication rates.

RESULTS

A total of 31 patients underwent 33 attempted CT-guided gastrostomy tube placements at our institution, with 32 successful procedures yielding a success rate of 97%. The overall rate of successful gastrostomy tube placement using CT-guidance was 94.9% (634/668), as reported in the existing literature.

CONCLUSION

CT-guidance is an effective method for gastrostomy tube placement and may play an important role in patients for whom endoscopic or fluoroscopic gastrostomy tube placement is not feasible.