{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:18:42Z","timestamp":1783700322785,"version":"3.55.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"vor","delay-in-days":1212,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian Journal of Radiology and Imaging"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background: Interventional radiology (IR) has played an important role in the technical evolution of gastrostomy, from the first surgical, endoscopical to percutaneous interventional procedures. Aim: This study is done to assess the technical feasibility and outcome of IR-guided percutaneous gastrostomy for patients requiring nutritional support for neuromuscular disorders or head and neck malignancies, as well as to describe simplified and newer technique for pull-type gastrostomy. Materials and Methods: This is a retrospective study including 29 patients who underwent IR-guided percutaneous gastrostomy over a period of 8 years in a tertiary-level institution. Either pull or push-type gastrostomy was performed in these patients as decided by the interventional radiologist. The procedures were assessed by analyzing the indications, technical aspects, and complications. Statistical Analysis: Descriptive summary statistics and frequencies were used to assess the techniques and related complications. Results: The sample consists of 27 patients (93%) with pull technique and 2 patients (7%) with push technique. The technical success rate was 100%. Most of the complications were minor 24% (7\/29), including superficial skin infections around the tube site, self-resolving pneumoperitoneum, tube-related complications such as block, leakage, deformation, and dislodgement. Three patients (10.3%) had major complications. One patient (3.4%) developed massive pneumoperitoneum and mild peritonitis due to technical failure in the first attempt and needed re-puncture for successful placement, and other two patients (6.9%) developed peristromal focal abscess. One patient died on the third postoperative day due to type II respiratory failure. Conclusion: IR-guided percutaneous gastrostomy is a safe and effective procedure in selected patients.<\/jats:p>","DOI":"10.4103\/ijri.ijri_393_17","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T05:38:18Z","timestamp":1530164298000},"page":"225-231","source":"Crossref","is-referenced-by-count":20,"title":["Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome"],"prefix":"10.1055","volume":"28","author":[{"given":"Balasubramanian","family":"Karthikumar","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyamkumar N","family":"Keshava","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinu","family":"Moses","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George K","family":"Chiramel","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munawwar","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suraj","family":"Mammen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, 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NeurolSci"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1212\/WNL.58.3.485","article-title":"Gastrostomy insertion in ALS patients with low vital capacity: Respiratory support and survival","volume":"58","author":"S Gregory","year":"2002","journal-title":"Neurology"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1148\/radiol.2243010909","article-title":"Amyotrophic lateral sclerosis: Enteral nutrition provision \u2013 endoscopic or radiologic gastrostomy?","volume":"224","author":"F J Thornton","year":"2002","journal-title":"Radiology"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"528","DOI":"10.3109\/21678421.2013.812659","article-title":"Outcome of percutaneous endoscopic gastrostomy insertion in patients with amyotrophic lateral sclerosis in relation to respiratory dysfunction","volume":"14","author":"M Sarfaty","year":"2013","journal-title":"Amyotroph Lateral SclerFrontotemporalDegener"}],"container-title":["Indian Journal of Radiology and 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