Partovi S, Li X, Moon E, Thompson D. Image guided percutaneous gastrostomy catheter placement: How we do it safely and efficiently. World J Gastroenterol 2020; 26(4): 383-392 [PMID: 32063687 DOI: 10.3748/wjg.v26.i4.383]
Corresponding Author of This Article
Sasan Partovi, MD, Doctor, Section of Interventional Radiology, Imaging Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, United States. partovs@ccf.org
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Sasan Partovi, Xin Li, Eunice Moon, Dustin Thompson, Section of Interventional Radiology, Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, United States
Author contributions: Li X and Partovi S contributed equally to this work; The initial drafting was done by Li X and Partovi S equally; Moon E and Thompson D contributed heavily during the initial drafting and final editing of the paper; Moon E and Thompson D also provided necessary technical expertise to the topic.
Conflict-of-interest statement: All the authors have nothing to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Sasan Partovi, MD, Doctor, Section of Interventional Radiology, Imaging Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, United States. partovs@ccf.org
Received: November 14, 2019 Peer-review started: November 14, 2019 First decision: December 12, 2019 Revised: January 7, 2020 Accepted: January 11, 2020 Article in press: January 11, 2020 Published online: January 28, 2020 Processing time: 65 Days and 3.5 Hours
Abstract
Gastrostomy tube is an effective and safe long-term feeding access that is well-tolerated by patients. The typical placement routes include surgical, endoscopic and interventional radiologic placement. In particular, percutaneous interventional radiologic gastrostomy (PIRG) has increasingly become the preferred method of choice in many practices. Although many PIRG techniques have been developed since the 1980s, there is still a paucity of evidence supporting the choice of a most-optimal PIRG technique. Hence, there is a large variation in institutional approach to PIRG. We are a large, quaternary academic institution with an extensive experience in PIRG. Therefore, we aim to present the “push” PIRG technique utilized in our institution, to review the current literature, to discuss the optimal choice of PIRG technique and to generate further interests in comparison studies.
Core tip: Percutaneous interventional radiologic gastrostomy has become a popular choice for gastrostomy placement. However, there hasn't been an established most-optimal percutaneous interventional radiologic gastrostomy method. Therefore, we would like to present what we believe is the best approach and hope to spark readers' interests in pursuing further direct comparison studies.
