[DJR-143 1.0 CE] Single-Step Method for Pull-Type Gastrostomy Tube Placement

Lesson
Materials

Single-step pull-type gastrostomy tube (PGT) placement is a method involving gastric puncture with a curved 18-gauge trocar needle
allowing retrograde cannulation of the gastroesophageal junction without use of a sheath or snare. This retrospective review of 102
patients who underwent single-step PGT placement demonstrated 91% success in advancing the wire up the esophagus using only the
curved trocar. Successful placement of a gastrostomy tube was 100%. Two major and 2 minor complications occurred within 30 days, all
unrelated to the single-step technique. Mean fluoroscopy time for all patients was 5.1 min (range, 1.5–19.2 min). Single-step PGT
placement is an effective, safe, fast, and equipment-sparing method for gastrostomy placement.

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