Special Procedures

Percutaneous Gastrostomy

Procedure Time
30 min.- 1 hour

Purpose
Purcutaneous Gastrostomy is a quick, simple and safe method of obtaining access to the stomach for long-term feeding, but it may also be used for gastric decompression, or rarely for simplified dilation of upper gastrointestinal stricture when a peripheral approach as failed.

Procedure

Patient will come to the IPU for labs, IV, etc.
Patient will be on his back for the procedure.
Nasogastric tube will be inserted so we can fill the stomach with air so that it can be visualized under fluoro.
A subcostal (below ribs) approach to the left of the mid-line is chosen with the assistance of fluoroscopy.
Contrast will be injected to confirm region of interest then gastric tube will be placed. It will be secured both internally and externally.
Nasogastric tube will then be removed.
Patient will go to IPU or floor for bed rest and frequent monitoring.