Fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes in 102 patients

Abstract Purpose The purpose of this study was to evaluate the technical and clinical results of fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes. Materials and methods This retrospective study included 102 patients (61 men, 41 women) with a mean age of 59 years ± 16.3 (SD) (range, 18–94 years) who had fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes. All procedures were performed after inflating the stomach with air via an orally inserted 5-Fr catheter by retrograde catheterization of the esophagogastric junction. Demographic data, results of the procedures and complications were evaluated. Results A technical success was observed in 101/102 patients, yielding a technical success rate of 99%. Complications due to the procedure were observed in 17/102 patients yielding a procedure-related complication rate of 16.7%. Procedure-related complications included peristomal superficial cellulitis (6/102; 5.9%), peristomal abscess (4/102; 3.9%), subcutaneous hematoma (3/102; 2.9%), peristomal leakage (2/102; 2%), inadvertent removal of the tube (1/102; 1%) and death due to procedure-related peritonitis (1/102; 1%). Conclusion Fluoroscopy-guided placement of pull-type mushroom-retained gastrostomy tubes is a feasible and effective method for enteral nutrition.