Hybrid Endoscopic/Fluoroscopic Gastrostomy Tube Placement: Case Report of a Novel Technique

Introduction: We report the case of a 60-year-old female with a history of perforated gastric ulcer, abdominal abscesses, enterocutaneous fistula, and small bowel obstruction requiring durable gastric decompression prior to delayed fistula takedown. The patient had contraindications to or...

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Bibliographic Details
Main Authors: Nicholas Girardi, Benjamin Wharton, Kenneth Cicuto, Alysia Wiley, Lacey LaGrone
Format: Article
Language:English
Published: Karger Publishers 2025-02-01
Series:Case Reports in Gastroenterology
Online Access:https://karger.com/article/doi/10.1159/000542809
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Summary:Introduction: We report the case of a 60-year-old female with a history of perforated gastric ulcer, abdominal abscesses, enterocutaneous fistula, and small bowel obstruction requiring durable gastric decompression prior to delayed fistula takedown. The patient had contraindications to or failed attempts at traditional gastrostomy approaches (surgical, endoscopic, interventional radiology). Case Report: Gastrostomy was successfully performed via a novel technique combining interventional radiology and endoscopic placement. Discussion: In certain patients with complex presentations, a hybrid approach to gastrostomy tube placement using fluoroscopy and endoscopy may prove a viable alternative when traditional methods are contraindicated or unsuccessful.
ISSN:1662-0631