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Digestive Disease Interventions 2023; 07(02): 095-102
DOI: 10.1055/s-0043-1761633
Review Article

Enteral Access: A Review of Technique, Complications, and Management Strategies

Curtis HonShideler
1   Boston Medical Center, Boston, Massachusetts
,
Bushra Manzar
1   Boston Medical Center, Boston, Massachusetts
,
Mohammad Bader 
1   Boston Medical Center, Boston, Massachusetts
› Author Affiliations Funding None.
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Abstract

Percutaneous enteral access for nutritional support may be required for a wide host of comorbid conditions, including processes such as obstructive head and neck tumors, esophageal tumors, neurologic/neuromuscular disorders such as amyotrophic lateral sclerosis, multiple sclerosis, or stroke, chronic gastric outlet obstruction, small bowel obstruction, and motility disorders. Given this demand, it is important for providers to be aware of the complications associated with percutaneous radiologic enteral access and how to manage them. We herein provide a brief overview of complications related to enteral access, including anatomic, technical, preventative, and management considerations.

Keywords

gastrostomy - enteral - complications


Publication History

Received: 24 July 2022

Accepted: 17 January 2023

Article published online:
27 March 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Covarrubias DA, O'Connor OJ, McDermott S, Arellano RS. Radiologic percutaneous gastrostomy: review of potential complications and approach to managing the unexpected outcome. AJR Am J Roentgenol 2013; 200 (04) 921-931
    CrossrefPubMedGoogle Scholar
  • 2 Preshaw RM. A percutaneous method for inserting a feeding gastrostomy tube. Surg Gynecol Obstet 1981; 152 (05) 658-660
    PubMedGoogle Scholar
  • 3 Mauro M, Murphy K, Thomson K. et al. Image-Guided Interventions. 3rd ed. Elsevier; 2020
    Google Scholar
  • 4 Cheng AKC, Wong SC, Wong WPM, Li YL, Cheung SCW. Winslow's pathway. Abdom Radiol (NY) 2019; 44 (01) 370-371
    CrossrefPubMedGoogle Scholar
  • 5 Sutcliffe J, Wingham A, Mceniff N, Dvorak P. et al. CIRSE Standards of Practice Guidelines on Gastrostomy. J Vasc Interv Radiol 2016; 39 (07) 973-987
    PubMedGoogle Scholar
  • 6 Perona F, Castellazzi G, De Iuliis A, Rizzo L. Percutaneous radiologic gastrostomy: a 12-year series. Gut Liver 2010; 4 (Suppl 1, Suppl 1): S44-S49
    CrossrefPubMedGoogle Scholar
  • 7 Bankhead RR, Fisher CA, Rolandelli RH. Gastrostomy tube placement outcomes: comparison of surgical, endoscopic, and laparoscopic methods. Nutr Clin Pract 2005; 20 (06) 607-612
    CrossrefPubMedGoogle Scholar
  • 8 Ponsky JL. The development of PEG: how it was. J Interv Gastroenterol 2011; 1 (02) 88-89
    CrossrefPubMedGoogle Scholar
  • 9 Alagaratnam TT, Ong GB. Wound implantation – a surgical hazard. Br J Surg 1977; 64 (12) 872-875
    CrossrefPubMedGoogle Scholar
  • 10 Mincheff TV. Metastatic spread to a percutaneous gastrostomy site from head and neck cancer: case report and literature review. JSLS 2005; 9 (04) 466-471
    PubMedGoogle Scholar
  • 11 Preyer S, Thul P. Gastric metastasis of squamous cell carcinoma of the head and neck after percutaneous endoscopic gastrostomy – report of a case. [letter] Endoscopy 1989; 21 (06) 295
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Heinbokel N, König V, Nowak A, Carstens V. [A rare complication of percutaneous endoscopic gastrostomy: metastasis of adenocarcinoma of the stomach in the area of the gastric stoma]. [in German] Z Gastroenterol 1993; 31 (10) 612-613
    PubMedGoogle Scholar
  • 13 Laccourreye O, Chabardes E, Mérite-Drancy A. et al. Implantation metastasis following percutaneous endoscopic gastrostomy. J Laryngol Otol 1993; 107 (10) 946-949
    CrossrefPubMedGoogle Scholar
  • 14 Cyrany J, Rejchrt S, Kopacova M, Bures J. Buried bumper syndrome: a complication of percutaneous endoscopic gastrostomy. World J Gastroenterol 2016; 22 (02) 618-627
    CrossrefPubMedGoogle Scholar
  • 15 Lazaridis N, Murino A, Telese A, Koukias N, Despott EJ. A multimodality endoscopic approach for the management of buried bumper syndrome. Endoscopy 2019; 51 (12) E410-E411
    Article in Thieme ConnectPubMedGoogle Scholar